Stephanie Broadbent Black LCSW, LISW

NPI 1477745446 - Social Worker - 1041C0700X

NPI Details
NPI 1477745446
Gender Female
Enumeration Date 08/14/2007
Last Updated 10/03/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2319 CATSKILL CT
IOWA CITY IA, 52245-5250, US
Phone (319) 621-9581
Fax
Business Location
533 N 450 E
SPRINGVILLE UT, 84663-3402, US
Phone (319) 621-9581
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Utah
License Number 6656502-3502
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According to our database, Stephanie Broadbent Black LCSW, LISW NPI is 1477745446, taxonomy code is 1041C0700X and license number is 6656502-3502, license state is located at Utah. Stephanie Broadbent Black LCSW, LISW physically located at 2319 Catskill Ct, Iowa City IA, 52245-5250. NPI Number Stephanie Broadbent Black LCSW, LISW has the Individual type.

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1477745446 NPI number is provided on an as is basis without warranty of any kind. 1477745446 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Broadbent Black LCSW, LISW are for informational purposes only.