STACY CLARK

CHESAPEAKE, VA
NPI1861628380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101Y00000X Counselor
Enumeration Date2009-06-10
Last Update Date2009-06-10
Business Address
Mr. STACY CLARK M. Ed
2156 SEASTONE TRCE
CHESAPEAKE, VA 23321-3777
Phone number: 757-803-5261
Mailing Address
Mr. STACY CLARK M. Ed
2156 SEASTONE TRCE
CHESAPEAKE, VA 23321-3777
Phone number: 757-405-6015
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