MRS. Stacy Clark Nishibun, M.A.E, IECE

NPI #1437484748 in Franklin, Kentucky

Provider Information

NPI Number
1437484748
Entity Type
Individual
Name
MRS. Stacy Clark Nishibun, M.A.E, IECE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
M.A.E, IECE
Enumeration Date
Oct 5, 2009
Last Updated
Oct 5, 2009

Practice Location

Address
400 CHAPMAN ST
ZIP Code
42134-1647
Phone
(270) 535-2928

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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