Individual
MARILYN KAY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 582-2131
(918) 588-8822
Mailing address
5321 S HARVARD AVE APT E, TULSA, OK 74135-3865
(918) 582-2131
(918) 588-8822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2166
OK
Other
Enumeration date
12/06/2006
Last updated
11/29/2007
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