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Jed Black, INTERN
NPI 1831688233 · on the registry since 2018
Practice
- Address
- 1407 N 2000 W Ste J
Clinton, UT 84015 - Phone
- (801) 855-7999
- Fax
- (801) 855-7999
- Organisation at this address
- Roe Rx Inc
Glacier Peak Pain Care Pllc
Westside Therapeutic MassageInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2018-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah