Individual
SUZANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI, MA
Contact information
Practice address
251 WEST WEBER CANYON ROAD, OAKLEY, UT 84055-0357
(435) 783-5001
Mailing address
251 WEST WEBER CANYON ROAD, OAKLEY, UT 84055-0357
(435) 783-5001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6486848-3904
UT
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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