Individual
LYNETTA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4707 E 6TH ST, TULSA, OK 74112-4231
(918) 734-5537
Mailing address
4707 E 6TH ST, TULSA, OK 74112-4231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2877
OK
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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