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1588097786
TERYL L CLARK
AMERICAN FORK, UT
NPI
1588097786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: UT 5970987-3501)
Enumeration Date
2013-08-12
Last Update Date
2013-08-12
Business Address
-- TERYL L CLARK LCSW
789 BAMBERGER DR SUITE A
AMERICAN FORK, UT 84003-2181
Phone number: 801-915-8792
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Mailing Address
-- TERYL L CLARK LCSW
13478 S LONE ROCK
DRAPER, UT 84020
Phone number: 801-915-8792
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