Individual
MS. NANCY CLEMENTINE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 452-3133
Mailing address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 452-3133
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
OK
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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