Individual
MRS. KIMBERLY ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
1516 S BOSTON AVE, SUITE 100, TULSA, OK 74119-4003
(918) 561-6000
(918) 561-6001
Mailing address
1516 S BOSTON AVE, SUITE 100, TULSA, OK 74119-4003
(918) 561-6000
(918) 561-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
11/08/2007
Last updated
01/22/2010
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