Individual
SHARON CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 CRADDUCK RD, ADA, OK 74820-8442
(580) 332-3699
(580) 421-9828
Mailing address
1308 CRADDUCK RD, ADA, OK 74820-8442
(580) 332-3699
(580) 421-9828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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