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1003373713
ROBERT WILLIAM BLACK
SAN DIEGO, CA
NPI
1003373713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 17770)
Enumeration Date
2019-02-28
Last Update Date
2024-11-06
Business Address
ROBERT WILLIAM BLACK LPPC 17770
4391 ELM ST
SAN DIEGO, CA 92105-5221
Phone number: 619-840-5386
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Mailing Address
ROBERT WILLIAM BLACK LPPC 17770
PO BOX 5070
SAN DIEGO, CA 92165-5070
Phone number: 619-840-5386
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