MRS. Madison Anne Clark, LPC CANDIDATE

NPI #1407195183 in Norman, Oklahoma

Provider Information

NPI Number
1407195183
Entity Type
Individual
Name
MRS. Madison Anne Clark, LPC CANDIDATE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC CANDIDATE
Enumeration Date
Jan 31, 2013
Last Updated
Apr 28, 2015

Practice Location

Address
711 W MAIN STREET
City
Norman
ZIP Code
73069-6918
Phone
(405) 882-4960

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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