Individual provider · Type 1 NPI

Samuel Edward Clark, B.S.W.

Specialist · Idabel, OK

NPI number 1326269804 Active

Practice location

17 South Central Av.
Idabel, OK 74745-4625

Call (580) 286-5184 Map

Fax (580) 286-5185

Mailing address

RR 2 Box 849
Broken Bow, OK 74728-9685

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1326269804

Samuel Edward Clark, B.S.W.'s National Provider Identifier is 1326269804, issued on May 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Idabel, OK. The record was last updated on Jul 8, 2007.