Individual
MRS. ALYSSA NICOLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5455 W 11000 N STE 201, HIGHLAND, UT 84003-8820
(801) 449-0017
Mailing address
5455 W 11000 N, HIGHLAND, UT 84003-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/05/2019
Last updated
05/28/2026
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