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1700604477
CLARA CLARKE
PROVO, UT
NPI
1700604477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 13486271-3501)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
CLARA CLARKE LCSW
1991 S STATE ST
PROVO, UT 84606-6424
Phone number: 801-342-7840
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Mailing Address
CLARA CLARKE LCSW
195 N 1950 W
SALT LAKE CITY, UT 84116-3100
Phone number:
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