Ebonye Patrice Clark
Ebonye Patrice Clark is a Peer Specialist in Midwest City, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1704 Center Dr Apt 2Midwest City, OK 73110-2869
Phone: (405) 679-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1962998062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 2, 2018 |
| Last updated in NPPES | July 2, 2018 |
| Mailing address | 1704 Center Dr Apt 2, Midwest City, OK 73110-2869 |
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