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1255726394
HEATHER BLACK
SALT LAKE CITY, UT
NPI
1255726394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 9247682-2501)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- HEATHER BLACK PsyD
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-852-1565
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Mailing Address
-- HEATHER BLACK PsyD
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number:
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