Individual
DEBORAH JOY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 W BROADWAY ST, IDAHO FALLS, ID 83402-2996
(208) 524-7400
Mailing address
PO BOX 1594, WEST YELLOWSTONE, MT 59758-1594
(406) 201-0657
(406) 646-7754
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
ID
Other
Enumeration date
06/25/2024
Last updated
10/01/2025
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