Individual
ANGELA G CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 E SKELLY DR, TULSA, OK 74135-6100
(918) 779-7216
(918) 663-0203
Mailing address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 994-2764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
04/28/2025
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