EMMA NICOLE MELO BLACK

BLANDING, UT
NPI1881245348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  5274725-3503)
Enumeration Date2019-09-26
Last Update Date2019-09-26
Business Address
EMMA NICOLE MELO BLACK
735 S 200 W STE 1
BLANDING, UT 84511-3923
Phone number: 435-678-2992
Mailing Address
EMMA NICOLE MELO BLACK
735 S 200 W STE 1
BLANDING, UT 84511-3923
Phone number: 435-678-2992
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