NATHAN BLACK

LEHI, UT
NPI1295473916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  12256132-3506)
Enumeration Date2022-05-23
Last Update Date2022-05-23
Business Address
NATHAN BLACK CSW
3051 W MAPLE LOOP DR STE 210
LEHI, UT 84043-4602
Phone number: 801-872-5516
Mailing Address
NATHAN BLACK CSW
5383 S 900 E STE 103
SALT LAKE CITY, UT 84117-7266
Phone number: 801-872-5516
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