Loose Cannon Social Work, Llc.
NPI #1811447725 in Saint George, Utah
Provider Information
- NPI Number
- 1811447725
- Entity Type
- Organization
- Organization Name
- Loose Cannon Social Work, Llc.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 4, 2016
- Last Updated
- Oct 4, 2016
Practice Location
- Address
- 2298 E 200 S
- City
- Saint George
- State
- Utah
- ZIP Code
- 84790-1603
- Phone
- (801) 652-4437
Authorized Official
- Name
- MR. BRUCE CRAIG SOLOMON, LCSW
- Title
- MANAGER
- Phone
- (801) 652-4437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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