STACEY LYNNE CLARK

AMERICAN FORK, UT
NPI1720837511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5107906-3501)
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
STACEY LYNNE CLARK LCSW
1062 E BAMBERGER DR
AMERICAN FORK, UT 84003-5504
Phone number: 801-642-2193
Mailing Address
STACEY LYNNE CLARK LCSW
13963 S PORTRUSH CT
HERRIMAN, UT 84096-6793
Phone number: 801-860-3552
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