SearchVirginia101YM0800X

Stacy Clark, M. ED

NPI 1861628380 · on the registry since 2009 · sole proprietor

Practice

Address
2156 Seastone Trce
Chesapeake, VA 23321
Phone
(757) 803-5261

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
Sex
Male
Record last updated
2009-06-10

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 Virginia