Individual
NATALIE NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W PRICE AVE, SOUTH SALT LAKE, UT 84115-4345
(385) 468-4500
Mailing address
1124 E BROWNING AVE, SALT LAKE CITY, UT 84105-2524
(801) 854-8093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1831485184
UT
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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