Individual
CASSIE DAWN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 W DUPONT ST, CLAREMORE, OK 74017-5318
(918) 341-1424
Mailing address
1219 W DUPONT ST, CLAREMORE, OK 74017-5318
(918) 341-1424
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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