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Organization
LOOSE CANNON SOCIAL WORK, LLC.
Active
Organization
LOOSE CANNON SOCIAL WORK, LLC.
Active
Other names
Bruce C. Solomon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE CRAIG SOLOMON LCSW (MANAGING PARTNER)
(801) 359-9042
Entity
Organization
Contact information
Practice address
616 S RIVER RD, #220, ST GEORGE, UT 84790-2104
(435) 359-9042
Mailing address
2298 E 200 S, ST GEORGE, UT 84790-1603
(435) 359-9043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8202232-3501
UT
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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