JENNIFER ELAINE CLARK

HERRIMAN, UT
NPI1609387745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2017-10-16
Last Update Date2017-10-16
Business Address
JENNIFER ELAINE CLARK
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number: 801-506-6695
Mailing Address
JENNIFER ELAINE CLARK
13947 S NEWBURG DR
HERRIMAN, UT 84096-6787
Phone number: