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1023151784
GINA CLARK
STILLWATER, OK
NPI
1023151784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 3797)
Enumeration Date
2007-02-14
Last Update Date
2015-04-27
Business Address
Mrs. GINA CLARK LPC
800 E 6TH AVE STE B
STILLWATER, OK 74074-3732
Phone number: 405-372-1250
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Mailing Address
Mrs. GINA CLARK LPC
1321 N JARDOT RD
STILLWATER, OK 74075-8531
Phone number: 405-372-3010
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