ALEXANDER JERROD BLACK

LOS ANGELES, CA
NPI1003518028
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  114171)
Enumeration Date2023-03-21
Last Update Date2023-03-21
Business Address
ALEXANDER JERROD BLACK ACSW
611 S KINGSLEY DR
LOS ANGELES, CA 90005-2319
Phone number: 213-201-1600
Mailing Address
ALEXANDER JERROD BLACK ACSW
4047 HALLDALE AVE
LOS ANGELES, CA 90062-1851
Phone number: