MARK CLARK

SAINT GEORGE, UT
NPI1720119167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  22)
Enumeration Date2007-03-08
Last Update Date2018-09-20
Business Address
MARK CLARK SUDC
1366 W INDIAN HILLS DR UNIT 69
SAINT GEORGE, UT 84770-1885
Phone number: 406-293-7731
Mailing Address
MARK CLARK SUDC
711 CALIFORNIA AVE
LIBBY, MT 59923-1903
Phone number: 406-293-7731
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