Individual
CHRISTOPHER CLARK HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
120 S 100 W, MOUNT PLEASANT, UT 84647-1509
(435) 659-9294
Mailing address
PO BOX 581074, SALT LAKE CITY, UT 84158-1074
(435) 659-9294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5331963-3501
UT
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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