Individual
CHEREE D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15949 US HIGHWAY 271, SPIRO, OK 74959-5276
(918) 612-4049
Mailing address
PO BOX 83, SPIRO, OK 74959-0083
(760) 550-5104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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