Individual
RICKY LEE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1194 S MOUNTAIN VIEW DR, CEDAR CITY, UT 84720-3741
(435) 586-4078
(435) 586-5631
Mailing address
1194 S MOUNTAIN VIEW DR, CEDAR CITY, UT 84720-3741
(435) 691-2256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261856-3501
UT
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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