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Individual
STACY CLARK
Active
Individual
STACY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13853257-3501
UT
1041C0700X
Clinical Social Worker
Primary
13853257-3502
UT
Other
Enumeration date
03/11/2022
Last updated
04/14/2026
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