Individual
MISS MORGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-3908
(405) 522-3650
Mailing address
1642 SILVER SPRINGS CT, AURORA, IL 60504-7572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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