MISS Stephanie Lynn Clark, ATC
NPI #1487047767 in Elkview, West Virginia
Provider Information
- NPI Number
- 1487047767
- Entity Type
- Individual
- Name
- MISS Stephanie Lynn Clark, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 11, 2015
- Last Updated
- Mar 11, 2015
Practice Location
- Address
- 105 CREDES LNDG
- City
- Elkview
- State
- West Virginia
- ZIP Code
- 25071-8185
- Phone
- (304) 965-7979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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