Angela Clark
NPI #1558720284 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1558720284
- Entity Type
- Individual
- Name
- Angela Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 23, 2016
- Last Updated
- Feb 23, 2016
Practice Location
- Address
- 1401 IRENE LN
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74434-8339
- Phone
- (539) 832-5597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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