Ebonye Patrice Clark is a peer specialist in Midwest City, OK. The provider is 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. Ebonye Patrice Clark NPI is 1962998062. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1704 CENTER DR APT 2
MIDWEST CITY, OK
ZIP 73110-869
Phone: (405) 679-7979
The enumeration date for this NPI number is 7/2/2018 and was last updated on 7/2/2018.