Angela Clark
Angela Clark is a Mental Health Counselor in Fort Gibson, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
1401 Irene LnFort Gibson, OK 74434-8339
Phone: (539) 832-5597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1558720284 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2016 |
| Last updated in NPPES | February 23, 2016 |
| Mailing address | 1401 Irene Ln, Fort Gibson, OK 74434-8339 |
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