LOU CLARK

SHAWNEE, OK
NPI1073836649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-03-10
Last Update Date2010-03-10
Business Address
-- LOU CLARK
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number: 405-273-1170
Mailing Address
-- LOU CLARK
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number:
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