MICAH J BULLOCH lcsw
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1679082952- Provider Type
- Individual Provider (NPI-1)
- Credentials
- lcsw
- Status
- Active
Contact & Location
- Address
- 245 E 680 S, CEDAR CITY, UT, 847203593
- Phone
- (435) 867-7654
- Fax
- (435) 867-7699
Specialties & Taxonomies
Social Worker, Clinical
License: TX #107800
Case Manager/Care Coordinator
License: UT
Social Worker, Clinical
License: ID #8371889
Social Worker, Clinical
Primary License: UT #8765778-3501