Provider Demographics
NPI:1366815938
Name:CLARK-WOODY, RAGINA
Entity type:Individual
Prefix:
First Name:RAGINA
Middle Name:
Last Name:CLARK-WOODY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 W BRITTON RD
Mailing Address - Street 2:APT 2009
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-1712
Mailing Address - Country:US
Mailing Address - Phone:405-885-0465
Mailing Address - Fax:
Practice Address - Street 1:7000 W BRITTON RD
Practice Address - Street 2:APT 2009
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1713
Practice Address - Country:US
Practice Address - Phone:405-885-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker