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1841218732
STACI M CLARK
SPARTANBURG, SC
NPI
1841218732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 3567)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Mrs. STACI M CLARK M.A., CCC-SLP
355 OAK GROVE RD
SPARTANBURG, SC 29301-2537
Phone number: 864-595-4225
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Mailing Address
Mrs. STACI M CLARK M.A., CCC-SLP
200 BROUGHTON DR
GREENVILLE, SC 29609-3841
Phone number: 864-233-7905
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