STEPHANIE M. CLARK

HAMMOND, LA
NPI1982611463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  797)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- STEPHANIE M. CLARK LAC
202 E ROBERT ST
HAMMOND, LA 70401-3350
Phone number: 985-543-4070
Mailing Address
-- STEPHANIE M. CLARK LAC
202 E ROBERT ST
HAMMOND, LA 70401-3350
Phone number: 985-543-4070
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DEPARTMENT OF HEALTH & HOSPITALS