Individual
SUE ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8205 NW 90TH TER, OKLAHOMA CITY, OK 73132-1320
(580) 371-8231
Mailing address
8205 NW 90TH TER, OKLAHOMA CITY, OK 73132-1320
(580) 371-8231
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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