Genevieve Clark

NPI #1558795344 in Draper, Utah

Provider Information

NPI Number: 1558795344
Entity Type: Individual
Name: Genevieve Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 28, 2013
Last Updated: Aug 28, 2013

Practice Location

Address: 13073 S WHEATFIELD WAY
City: Draper
State: Utah
ZIP Code: 84020-9253
Phone: (801) 495-0946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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