Celestia Luella Clark I, MSW

NPI #1912569021 in Enterprise, Utah

Provider Information

NPI Number: 1912569021
Entity Type: Individual
Name: Celestia Luella Clark I, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: Jun 28, 2019
Last Updated: Aug 13, 2025

Practice Location

Address: 249 S 100 E STREET
City: Enterprise
State: Utah
ZIP Code: 84725-7648
Phone: (435) 231-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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