# LOOSE CANNON SOCIAL WORK, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bruce C. Solomon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609328525
- **Authorized official:** MR. BRUCE CRAIG SOLOMON LCSW (MANAGING PARTNER)
- **Authorized official phone:** (801) 359-9042

## Contact information

- **Practice address:** 616 S RIVER RD, \#220, ST GEORGE, UT 84790-2104
- **Practice address phone:** (435) 359-9042
- **Mailing address:** 2298 E 200 S, ST GEORGE, UT 84790-1603
- **Mailing address phone:** (435) 359-9043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 8202232-3501 | UT | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016