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1528591575
SUSAN CLARK
STILLWATER, OK
NPI
1528591575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-04-06
Last Update Date
2019-08-13
Business Address
SUSAN CLARK
604 S WALNUT
STILLWATER, OK 74074-4222
Phone number: 405-372-2202
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Mailing Address
SUSAN CLARK
604 S WALNUT
STILLWATER, OK 74074-4222
Phone number: 405-372-2202
Copy
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