Kimberly Ann Clark MSW, LCSW

NPI 1114968682 - Social Worker - 1041C0700X

NPI Details
NPI 1114968682
Gender Female
Enumeration Date 06/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
500 FOOTHILL DR
MAIL CODE 182H
SALT LAKE CITY UT, 84148-0001, US
Phone (801) 582-1565
Fax (801) 584-5609
Business Location
500 FOOTHILL DR
MAIL CODE 182H
SALT LAKE CITY UT, 84148-0001, US
Phone (801) 582-1565
Fax (801) 584-5609
Toxanomy
Taxonomy Code 1041C0700X
License State Utah
License Number 2686503501
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According to our database, Mrs. Kimberly Ann Clark MSW, LCSW NPI is 1114968682, taxonomy code is 1041C0700X and license number is 2686503501, license state is located at Utah. Kimberly Ann Clark MSW, LCSW physically located at 500 Foothill Dr, Salt Lake City UT, 84148-0001. NPI Number Kimberly Ann Clark MSW, LCSW has the Individual type.

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1114968682 NPI number is provided on an as is basis without warranty of any kind. 1114968682 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Ann Clark MSW, LCSW are for informational purposes only.