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1912483645
JUSTIN D CLARK
MURRAY, UT
NPI
1912483645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 9539877-3501)
Enumeration Date
2018-07-16
Last Update Date
2023-10-06
Business Address
JUSTIN D CLARK LCSW
4516 S 700 E STE 170
MURRAY, UT 84107-8320
Phone number: 801-613-2552
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Mailing Address
JUSTIN D CLARK LCSW
5221 S COBBLE CREEK RD APT 3L
MURRAY, UT 84117-6717
Phone number: 801-613-2552
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