MATTHEW JAMES BLACK

SOUTH SALT LAKE, UT
NPI1639941925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  11705657-3502)
Enumeration Date2023-10-30
Last Update Date2024-05-29
Business Address
MATTHEW JAMES BLACK
331 W 2700 S
SOUTH SALT LAKE, UT 84115-2904
Phone number: 801-678-3317
Mailing Address
MATTHEW JAMES BLACK
331 W 2700 S
SOUTH SALT LAKE, UT 84115-2904
Phone number: 801-678-3317
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