person
Bronson Michael Black, LCSW
School Counselor in South Salt Lake, Utah
NPI 1487392221

Bronson Michael Black is a School Counselor based in Kearns, UT and is specialized in School. Bronson Michael Black practices in South Salt Lake, UT and has the professional credentials of LCSW. The NPI Number for Bronson Michael Black is 1487392221 and holds a License No. (Utah).

The current practice location address for Bronson Michael Black is 2500 S State St, South Salt Lake, UT and can be reached out via phone at 385-646-1841.

Location: 2500 S State St, South Salt Lake, UT, 84118-6031
person
Provider Profile Details
NPI Number
1487392221
Provider Name
Bronson Michael Black
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2500 S State St, South Salt Lake, UT, 84118-6031
Phone Number
385-646-1841
Fax Number
Provider Enumeration Date
05/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 S State St
City
State
Zip
84115-3164
Phone Number
385-646-1841
Fax Number
person
Provider Business Mailing Address Details
Address
2500 S State St
City
State
Zip
84115-3164
Phone Number
385-646-1841
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
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