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Richard Clark, PEER SUPPORT
NPI 1316393283 · on the registry since 2016
Practice
- Address
- 68 S 600 E
Salt Lake City, UT 84102 - Phone
- (801) 428-3244
- Organisation at this address
- Odyssey House Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah