MICHAEL SEAN BOUCK

OGDEN, UT
NPI1922165505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  4788797-3501)
Enumeration Date2007-01-02
Last Update Date2012-12-03
Business Address
Mr. MICHAEL SEAN BOUCK LCSW
5030 HARRISON BLVD
OGDEN, UT 84403-4311
Phone number: 801-387-5600
Mailing Address
Mr. MICHAEL SEAN BOUCK LCSW
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5600