Tryesha Shiray Clark
Tryesha Shiray Clark is a Case Manager/Care Coordinator in Lawton, Oklahoma. Licensed in Tennessee. Registered with an NPI since 2019.
- Licensed in
- TN
- In the registry since
- 2019
Practice location Address checks out
602 SW A AveLawton, OK 73501-3930
Phone: (405) 317-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 127208565 (TN) |
|---|
Record details
| NPI number | 1629614276 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 19, 2019 |
| Last updated in NPPES | November 19, 2019 |
| Mailing address | 602 Sw A Ave, Lawton, OK 73501-3930 |
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