MRS. Lavina Kay Clark

NPI #1417297680 in Pawhuska, Oklahoma

Provider Information

NPI Number
1417297680
Entity Type
Individual
Name
MRS. Lavina Kay Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Feb 25, 2013
Last Updated
Feb 25, 2013

Practice Location

Address
126 E 6TH ST
ZIP Code
74056-4204
Phone
(918) 287-5425

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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