Individual
SKYLER ELDEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
774 S 1600 W STE 101, MAPLETON, UT 84664-4346
(801) 407-4134
(801) 877-0684
Mailing address
PO BOX 50207, PROVO, UT 84605-0207
(801) 407-4134
(801) 866-0864
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13542811-3904
UT
Other
Enumeration date
07/06/2022
Last updated
10/20/2023
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