Individual
MR. DAVID JOACHIM CLISBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1190 N 900 E, PROVO, UT 84604-3536
(801) 422-7620
Mailing address
407 E 950 N, SPRINGVILLE, UT 84663-3118
(801) 491-3175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
49898683502
UT
Other
Enumeration date
08/22/2006
Last updated
11/24/2009
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