BRONSON MICHAEL BLACK

SOUTH SALT LAKE, UT
NPI1487392221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YS0200X Counselor, School
Enumeration Date2022-05-23
Last Update Date2022-05-23
Business Address
BRONSON MICHAEL BLACK LCSW
2500 S STATE ST
SOUTH SALT LAKE, UT 84115-3164
Phone number: 385-646-1841
Mailing Address
BRONSON MICHAEL BLACK LCSW
5929 S HUMMEL DR
KEARNS, UT 84118-6031
Phone number: 801-822-7930
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