Amanda Clark
NPI #1407415532 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1407415532
- Entity Type
- Individual
- Name
- Amanda Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 12, 2019
- Last Updated
- Jun 12, 2019
Practice Location
- Address
- 4460 S HIGHLAND DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-3543
- Phone
- (888) 949-4864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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