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1003518028
ALEXANDER JERROD BLACK
LOS ANGELES, CA
NPI
1003518028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 114171)
Enumeration Date
2023-03-21
Last Update Date
2023-03-21
Business Address
ALEXANDER JERROD BLACK ACSW
611 S KINGSLEY DR
LOS ANGELES, CA 90005-2319
Phone number: 213-201-1600
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Mailing Address
ALEXANDER JERROD BLACK ACSW
4047 HALLDALE AVE
LOS ANGELES, CA 90062-1851
Phone number:
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