Blackriver Consulting, P.c. | |
5801 Fashion Blvd Suite 250 Murray UT 84107-6159 | |
(801) 596-0147 | |
(801) 716-4049 |
Full Name | Blackriver Consulting, P.c. |
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Speciality | Social Worker - Clinical |
Location | 5801 Fashion Blvd, Murray, Utah |
Authorized Official Name and Position | Christopher Alan Robertson (PRESIDENT) |
Authorized Official Contact | 8015960147 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blackriver Consulting, P.c. 5801 Fashion Blvd Suite 250 Murray UT 84107-6159 Ph: (801) 596-0147 | Blackriver Consulting, P.c. 5801 Fashion Blvd Suite 250 Murray UT 84107-6159 Ph: (801) 596-0147 |
NPI Number | 1609014000 |
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Provider Enumeration Date | 01/23/2009 |
Last Update Date | 03/09/2011 |
Identifier | Type | State | Issuer |
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1609014000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 139307-3501 (Utah) | Primary |
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