Individual
CLARISSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 W COUGAR BLVD STE 105, PROVO, UT 84604-3311
(801) 357-8583
Mailing address
1675 N 1450 E, PROVO, UT 84604-5711
(314) 956-6506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
11/21/2022
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