Individual
MR. ROBERT AUSTIN BULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
350 E 400 S # 318, SALT LAKE CITY, UT 84111-2993
(801) 413-3942
(801) 931-2173
Mailing address
350 E 400 S # 318, SALT LAKE CITY, UT 84111-2993
(801) 413-3942
(801) 931-2173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11615012-3501
UT
Other
Enumeration date
11/23/2020
Last updated
08/05/2025
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