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1225478951
CLARK IRVIN GROTHE
OKLAHOMA CITY, OK
NPI
1225478951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2013-06-26
Last Update Date
2013-06-26
Business Address
MR. CLARK IRVIN GROTHE LCSW
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112-2212
Phone number: 405-858-2826
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Mailing Address
MR. CLARK IRVIN GROTHE LCSW
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112-2212
Phone number: 405-858-2826
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