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1578212536
ROGER BRENT CLARK
CEDAR CITY, UT
NPI
1578212536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: UT 11534461-6009)
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
ROGER BRENT CLARK ACMHC
440 N PAIUTE DR
CEDAR CITY, UT 84721-6181
Phone number: 435-586-1112
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Mailing Address
ROGER BRENT CLARK ACMHC
440 N PAIUTE DR
CEDAR CITY, UT 84721-6181
Phone number: 435-586-1112
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