Individual
ANGELA MARIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
(801) 538-2057
Mailing address
443 S 600 E, SALT LAKE CITY, UT 84102-2708
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7693497-3502
UT
Other
Enumeration date
06/15/2010
Last updated
03/20/2013
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