JEREMY KEITH CLARK

OGDEN, UT
NPI1356958383
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2020-09-24
Last Update Date2020-09-24
Business Address
JEREMY KEITH CLARK
1525 LINCOLN AVE
OGDEN, UT 84404-5638
Phone number: 801-621-6510
Mailing Address
JEREMY KEITH CLARK
566 E 500 N
LOGAN, UT 84321-4251
Phone number: 453-938-8562
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