Individual
KAMI BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 W GAILEY LN, KAYSVILLE, UT 84037-1937
(801) 867-4292
Mailing address
141 W GAILEY LN, KAYSVILLE, UT 84037-1937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5061350-3501
UT
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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