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1548993645
SKYLER ELDEN CLARK
MAPLETON, UT
NPI
1548993645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 13542811-3904)
Enumeration Date
2022-07-06
Last Update Date
2023-10-20
Business Address
SKYLER ELDEN CLARK
774 S 1600 W STE 101
MAPLETON, UT 84664-4346
Phone number: 801-407-4134
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Mailing Address
SKYLER ELDEN CLARK
PO BOX 50207
PROVO, UT 84605-0207
Phone number: 801-407-4134
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