MRS. Dana Marie Clark

NPI #1134413503 in Watonga, Oklahoma

Provider Information

NPI Number: 1134413503
Entity Type: Individual
Name: MRS. Dana Marie Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 2, 2011
Last Updated: Jun 2, 2011

Practice Location

Address: 403 N CLARENCE NASH BLVD
City: Watonga
State: Oklahoma
ZIP Code: 73772-3636
Phone: (580) 623-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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