Individual
PAMELA NONE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
3440 HARRISON BLVD., SUITE 100, OGDEN, UT 84403
(801) 393-3113
Mailing address
3440 HARRISON BLVD., #100, OGDEN, UT 84403
(801) 393-3113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
24848
CA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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