Shanna Marie Clark

NPI #1306143060 in Woodward, Oklahoma

Provider Information

NPI Number: 1306143060
Entity Type: Individual
Name: Shanna Marie Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 16, 2011
Last Updated: Feb 16, 2011

Practice Location

Address: 1213 W HANKS TRL
City: Woodward
State: Oklahoma
ZIP Code: 73801-7601
Phone: (405) 519-2668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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