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Contact Information

AMANDA CLARK
872 W 630 S
RICHFIELD, UT84701-2909
 Phone: 801-419-7491
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for AMANDA CLARK · (Female)

NPI # 1659191401
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2024
Last updated 10/16/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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