Individual
ANGELA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFLE-P
Contact information
Practice address
585 W 500 S STE 200, BOUNTIFUL, UT 84010-8321
(801) 990-4300
Mailing address
2765 S 1200 W, PERRY, UT 84302-4224
(435) 740-1490
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
UT
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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