Individual
MRS. GINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 E 6TH AVE STE B, STILLWATER, OK 74074-3732
(405) 372-1250
Mailing address
1321 N JARDOT RD, STILLWATER, OK 74075-8531
(405) 372-3010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3797
OK
Other
Enumeration date
02/14/2007
Last updated
04/27/2015
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