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1144569112
SHAY CLARK
SOUTH JORDAN, UT
NPI
1144569112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 80827886009)
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
-- SHAY CLARK APC
1258 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095-4711
Phone number: 801-255-1155
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Mailing Address
-- SHAY CLARK APC
350 WOOD DR
ALPINE, UT 84004-2604
Phone number: 801-372-7849
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