Individual
JUSTIN D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4516 S 700 E STE 170, MURRAY, UT 84107-8320
(801) 613-2552
(801) 459-1200
Mailing address
5221 S COBBLE CREEK RD APT 3L, MURRAY, UT 84117-6717
(801) 613-2552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9539877-3501
UT
Other
Enumeration date
07/16/2018
Last updated
10/06/2023
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