Clark B. Holladay, Lcsw, Lc

NPI #1619172806 in Nephi, Utah

Provider Information

NPI Number
1619172806
Entity Type
Organization
Organization Name
Clark B. Holladay, Lcsw, Lc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jun 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
656 N MAIN ST
Address 2
#5
City
Nephi
State
Utah
ZIP Code
84648-1123
Phone
(435) 623-5044

Authorized Official

Name
MR. CLARK B. HOLLADAY, LCSW
Title
CLINICAL DIRECTOR
Phone
(435) 623-5044

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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