RICHARD JACK CLARK

SALT LAKE CITY, UT
NPI1316393283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: UT  #518)
Enumeration Date2016-05-10
Last Update Date2016-05-11
Business Address
-- RICHARD JACK CLARK peer support
68 S 600 E
SALT LAKE CITY, UT 84102-1007
Phone number: 801-428-3244
Mailing Address
-- RICHARD JACK CLARK peer support
68 S 600 E
SALT LAKE CITY, UT 84102-1007
Phone number: 801-428-3244
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