SearchIllinoisDevelopmental Therapist

Stacia Clark

NPI 1578828448 · on the registry since 2012 · sole proprietor

Practice

Address
2695 Leyland Ln
Aurora, IL 60504
Phone
(630) 209-3109
Organisation at this address
Javiermramirez Dds Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Developmental Therapist
222Q00000X
Sex
Female
Record last updated
2012-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois