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Lavon Jo Clark
Mental Health Counselor in Miami, Oklahoma
NPI 1568984060

Lavon Jo Clark is a Mental Health Counselor based in Miami, OK and is specialized in Mental Health. Lavon Jo Clark practices in Miami, OK. The NPI Number for Lavon Jo Clark is 1568984060 and holds a License No. (Oklahoma).

The current practice location address for Lavon Jo Clark is 111 S Treaty Rd, Miami, OK and can be reached out via phone at 918-540-1511.

Location: 111 S Treaty Rd, Miami, OK, 74354-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568984060
Provider Name
Lavon Jo Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 S Treaty Rd, Miami, OK, 74354-5327
Phone Number
918-540-1511
Fax Number
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 S Treaty Rd
City
Miami
State
Oklahoma
Zip
74354-5327
Phone Number
918-540-1511
Fax Number
person
Provider Business Mailing Address Details
Address
111 S Treaty Rd
City
Miami
State
Oklahoma
Zip
74354-5327
Phone Number
918-540-1511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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