Clark, Stephanie Dawn

Clark, Stephanie Dawn is an sole proprietor health care provider with primary practice located at 125 S Main Cross St , Louisa KY 41230-1065. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Stephanie Dawn can be contacted via phone (606) 638-0938.

Contact Information

Primary practice address
125 S Main Cross St Louisa KY 41230-1065
Fax: (859) 813-5394
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Kentucky

Profile Details

NPI number 1679250161
LBN Legal business name Clark, Stephanie Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2023
Last updated Jun 28th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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