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Individual

CLAY JORGENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PYD

Contact information

Practice address
595 N LOCUST AVE, LINDON, UT 84042-1316
(801) 717-5131
Mailing address
595 N LOCUST AVE, LINDON, UT 84042-1316
(801) 717-5131

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11959255-2501
UT

Other

Enumeration date
12/08/2020
Last updated
12/08/2020
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