Individual
MICAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 SW 74TH ST, OKLAHOMA CITY, OK 73159-3931
(405) 355-3239
Mailing address
2219 SW 74TH ST, OKLAHOMA CITY, OK 73159-3931
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA423
OK
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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