BRENDA GAYLE CLARK

WAGONER, OK
NPI1467679175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- BRENDA GAYLE CLARK
109 S. HARRILL
WAGONER, OK 74467-5317
Phone number: 918-485-3554
Mailing Address
-- BRENDA GAYLE CLARK
109 S. HARRILL
WAGONER, OK 74467-5317
Phone number: 918-485-3554
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