Individual
MARISSA BREANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4933 S 1500 W STE 200, RIVERDALE, UT 84405-7738
(385) 330-2818
Mailing address
689 E 200 N, BOUNTIFUL, UT 84010-3604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
UT
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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