Individual
EMMA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 E 2100 S, SALT LAKE CITY, UT 84106-1830
(801) 487-0499
Mailing address
866 E 200 N, NEPHI, UT 84648-1626
(801) 960-5047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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