Individual
MICHELLE SOLARI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 WESTRIDGE TER, NORMAN, OK 73069-4009
(432) 634-8991
Mailing address
9705 BROADWAY EXT STE 150, OKLAHOMA CITY, OK 73114-6325
(432) 634-8991
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/11/2023
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