Individual
MR. MARK LYNN DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
132 SOUTH STATE, SUITE 200, SALT LAKE CITY, UT 84111-1506
(801) 240-3556
Mailing address
11471 HIGH MOUNTAIN DR, SANDY, UT 84092-5675
(801) 816-1332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
369885-3501
UT
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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