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Licenses
Psychiatric
Kentucky
39186
Mary E. Black
Psychiatric in Salt Lake City, UT
License number
Kentucky 39186
Issued Date
Mar 17, 2005
Expiration Date
Feb 28, 2007
Category
Psychiatry
Type
Hospital Based
Address
Address
4021 R Fletcher, Comp Health, 4021 S 700 E #300, Salt Lake City, UT 84107
Education
Louisiana State University School of Medicine, New Orleans, 1969
Phone
(800) 328-3035
(Work)
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