NPI 1053551150
Ginger Clark
Practice location
- Address
- 710 Manvel Ave, Chandler, OK 74834-2843
- Phone
- (405) 240-5333
- Mailing address
- 1010 E 45th St, Shawnee, OK 74804-2202
Registered specialties
Addiction (Substance Use Disorder) Counselor
Primary
Registry record
- NPI
- 1053551150
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Mar 2009
- Record last updated
- 2 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.