Roark, Crystal Annette
Roark, Crystal Annette is an individual health care provider with primary practice located at 94 N 31St St , Clinton OK 73601-9116. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Roark, Crystal Annette can be contacted via phone (580) 323-6021.Contact Information
Primary practice address
94 N 31St St
Clinton OK 73601-9116
Phone: (580) 323-6021
Fax: (580) 323-9375
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1225040553 |
---|---|
LBN Legal business name | Roark, Crystal Annette |
Credentials | B.S., CM-A |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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