Individual
RACHEL MEGAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 ASH ST, GROVE, OK 74344-2608
(918) 618-7518
Mailing address
1425 ASH ST, GROVE, OK 74344-2608
(918) 618-7518
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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