Individual
MR. CHRISTOPHER JAMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 E 97TH PL APT 1506, TULSA, OK 74137-7334
(918) 855-6021
Mailing address
2817 E 97TH PL APT 1506, TULSA, OK 74137-7334
(918) 855-6021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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