Susan Easton Black

NPI #1003175183 in Provo, Utah

Provider Information

NPI Number: 1003175183
Entity Type: Individual
Name: Susan Easton Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: May 10, 2012
Last Updated: May 10, 2012

Practice Location

Address: 1190 N 900 E
City: Provo
State: Utah
ZIP Code: 84604-3536
Phone: (801) 422-7620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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