person
Ebonye Patrice Clark
Peer Specialist in Midwest City, Oklahoma
NPI 1962998062

Ebonye Patrice Clark is a Peer Specialist based in Midwest City, OK. Ebonye Patrice Clark practices in Midwest City, OK. The NPI Number for Ebonye Patrice Clark is 1962998062 and holds a License No. (Oklahoma).

The current practice location address for Ebonye Patrice Clark is 1704 Center Dr Apt 2, Midwest City, OK and can be reached out via phone at 405-679-7979. You can also correspond with Ebonye Patrice Clark through the mailing address at 1704 CENTER DR APT 2, MIDWEST CITY, OK - 73110-2869 (mailing address contact number: 405-679-7979).

Location: 1704 Center Dr Apt 2, Midwest City, OK, 73110-2869
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Provider Profile Details
NPI Number
1962998062
Provider Name
Ebonye Patrice Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1704 Center Dr Apt 2, Midwest City, OK, 73110-2869
Phone Number
405-679-7979
Fax Number
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1704 Center Dr Apt 2
City
State
Zip
73110-2869
Phone Number
405-679-7979
Fax Number
person
Provider Business Mailing Address Details
Address
1704 Center Dr Apt 2
City
State
Zip
73110-2869
Phone Number
405-679-7979
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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