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Contact Information

MARY CLARK, DACM
8358 SIX FORKS RD STE 204
RALEIGH, NC27615-5093
 Phone: 919-909-5736
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MARY CLARK · (Female)

NPI Number 1366981839
Status Active
Credentials DACM
Entity Individual
Enumeration date 02/16/2017
Last updated 10/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 16220
  • NC License # 932
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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