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Mr. Samuel Edward Clark, BSW
Specialist in Idabel, Oklahoma
NPI 1326269804

Samuel Edward Clark is a Specialist based in Broken Bow, OK. Samuel Edward Clark practices in Idabel, OK and has the professional credentials of BSW. The NPI Number for Samuel Edward Clark is 1326269804 and holds a License No. (Oklahoma).

The current practice location address for Samuel Edward Clark is 17 South Central Av., Idabel, OK and can be reached out via phone at 580-286-5184 and via fax at 580-286-5185.

Location: 17 South Central Av., Idabel, OK, 74728-9685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326269804
Provider Name
Samuel Edward Clark
Credential
BSW
Provider Entity Type
Individual
Gender
Male
Address
17 South Central Av., Idabel, OK, 74728-9685
Phone Number
580-286-5184
Fax Number
580-286-5185
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 South Central Av.
City
Idabel
State
Oklahoma
Zip
74745-4625
Phone Number
580-286-5184
Fax Number
580-286-5185
person
Provider Business Mailing Address Details
Address
17 South Central Av.
City
Idabel
State
Oklahoma
Zip
74745-4625
Phone Number
580-286-5184
Fax Number
580-286-5185
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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