Individual
CLINTON DALE POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N 1200 E, LEHI, UT 84043-5862
(435) 868-8103
Mailing address
1443 W 800 N STE 103, OREM, UT 84057-2878
(801) 655-4950
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9599928-2506
UT
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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