Brenda Gayle Clark

NPI #1467679175 in Wagoner, Oklahoma

Provider Information

NPI Number
1467679175
Entity Type
Individual
Name
Brenda Gayle Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
109 S. HARRILL
ZIP Code
74467-5317
Phone
(918) 485-3554

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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