Individual
EMMA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 K ST NW STE 2, ARDMORE, OK 73401-5519
(580) 798-4523
Mailing address
1219 K ST NW STE 2, ARDMORE, OK 73401-5519
(580) 798-4523
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
06/04/2024
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