| Mr Clark Randy Powell, LCSW | |
|
21260 North 1450 East, Moroni, UT 84646-0383 | |
| (435) 851-6821 | |
| Not Available |
| Full Name | Mr Clark Randy Powell |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 21260 North 1450 East, Moroni, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245543313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 139432-3501 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clark Randy Powell, LCSW 21260 North 1450 East, Moroni, UT 84646-0383 Ph: (435) 851-6821 | Mr Clark Randy Powell, LCSW 21260 North 1450 East, Moroni, UT 84646-0383 Ph: (435) 851-6821 |
Robert Duane Simonson, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 East 17160 North, Moroni, UT 84646 Phone: 435-436-5321 Fax: 435-436-5322 | |
Richard Newton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21260 N 1450 E, Moroni, UT 84646 Phone: 435-445-5200 |