MRS. Stephanie Diane Clark

NPI #1760816326 in Del City, Oklahoma

Provider Information

NPI Number
1760816326
Entity Type
Individual
Name
MRS. Stephanie Diane Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 30, 2013
Last Updated
Aug 30, 2013

Practice Location

Address
4613 SE 41ST ST
ZIP Code
73115-3703
Phone
(405) 635-7856

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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