Cheyenne Clark

NPI #1427858323 in Durant, Oklahoma

Provider Information

NPI Number: 1427858323
Entity Type: Individual
Name: Cheyenne Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 18, 2025
Last Updated: Mar 18, 2025

Practice Location

Address: 2425 W UNIVERSITY BLVD STE 100
City: Durant
State: Oklahoma
ZIP Code: 74701-2970
Phone: (809) 247-3315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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