MR. Samuel Edward Clark, B.S.W.

NPI #1326269804 in Idabel, Oklahoma

Provider Information

NPI Number
1326269804
Entity Type
Individual
Name
MR. Samuel Edward Clark, B.S.W.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
B.S.W.
Enumeration Date
May 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
17 SOUTH CENTRAL AV.
City
Idabel
ZIP Code
74745-4625
Phone
(580) 286-5184

Specialties & Taxonomy Codes

Specialty
Specialist

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