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Celestia Clark, MSW
NPI 1912569021 · on the registry since 2019
Practice
- Address
- 249 S 100 E Street
Enterprise, UT 84725 - Phone
- (435) 231-3657
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
1041C0700X - Licence states on file
- UT, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-13
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