Loose Cannon Social Work, LLC
Loose Cannon Social Work, LLC is an Exclusive Provider Organization in Saint George, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2298 E 200 SSaint George, UT 84790-1603
Phone: (801) 652-4437
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 8202232-3501 (UT) |
|---|
Record details
| NPI number | 1811447725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bruce Solomon — Manager · (801) 652-4437 |
| NPI enumerated | October 4, 2016 |
| Last updated in NPPES | October 4, 2016 |
| Mailing address | 2298 E 200 S, Saint George, UT 84790-1603 |