Individual
ANGELA L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CM
Contact information
Practice address
3105 E SKELLY DR STE 310, TULSA, OK 74105-6371
(918) 599-7404
Mailing address
3105 E SKELLY DR STE 310, TULSA, OK 74105-6371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2009
Last updated
12/21/2009
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