Stacey Lynne Clark, LCSW

NPI #1720837511 in American Fork, Utah

Provider Information

NPI Number
1720837511
Entity Type
Individual
Name
Stacey Lynne Clark, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 15, 2024
Last Updated
May 15, 2024

Practice Location

Address
1062 E BAMBERGER DR
State
Utah
ZIP Code
84003-5504
Phone
(801) 642-2193

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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