Bronson Michael Black, LCSW is a school counselor in South Salt Lake, UT. Bronson Michael Black, LCSW NPI is 1487392221. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2500 S STATE ST
SOUTH SALT LAKE, UT
ZIP 84115-164
Phone: (385) 646-1841
The enumeration date for this NPI number is 5/23/2022 and was last updated on 5/23/2022.