Individual
CHRISTINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6715 E 41ST ST, TULSA, OK 74145-4520
(918) 630-3083
Mailing address
4928 S NARCISSUS AVE, BROKEN ARROW, OK 74011-4217
(918) 639-3083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5273
OK
Other
Enumeration date
03/03/2020
Last updated
11/19/2021
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