MR. Clark Randy Powell, L.C.S.W.

NPI #1245543313 in Moroni, Utah

Provider Information

NPI Number: 1245543313
Entity Type: Individual
Name: MR. Clark Randy Powell, L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Jul 19, 2010
Last Updated: Jul 19, 2010

Practice Location

Address: 21260 NORTH 1450 EAST
City: Moroni
State: Utah
ZIP Code: 84646-0383
Phone: (435) 851-6821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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