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1164664355
CAMILLE CLARK
SALT LAKE CITY, UT
NPI
1164664355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 363735-6004)
Enumeration Date
2009-04-02
Last Update Date
2010-08-19
Business Address
-- CAMILLE CLARK
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-330-1864
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Mailing Address
-- CAMILLE CLARK
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-330-1864
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