LEAH BLACK

JACKSON, WY
NPI1003107731
Other NameLEAH HURST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  LCSW-742)
Enumeration Date2011-04-28
Last Update Date2015-02-18
Business Address
-- LEAH BLACK LCSW
310 E BROADWAY AVE
JACKSON, WY 83001-8636
Phone number: 307-654-7003
Mailing Address
-- LEAH BLACK LCSW
PO BOX 13572
JACKSON, WY 83002-3572
Phone number: 307-654-7003
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