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1003944117
ANTHONY BLACK
WILKES BARRE, PA
NPI
1003944117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW014410)
Enumeration Date
2007-03-01
Last Update Date
2018-05-24
Business Address
Mr. ANTHONY BLACK LCSW
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Phone number: 570-552-6000
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Mailing Address
Mr. ANTHONY BLACK LCSW
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701-3301
Phone number: 570-552-6000
Copy
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