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NPI Profile for STEPHANIE CLARK in FLORENCE, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1417811811 |
|
| Status | Active | |
| Credentials | CDCES, RN | |
| Entity | Individual | |
| Enumeration date | 12/11/2025 | |
| Last updated | 12/11/2025 - About 6 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE CLARK
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STEPHANIE CLARK, CDCES, RN