GAIL R BLACK

JEFFERSON CITY, MO
NPI1043647605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MO  2013035383)
Enumeration Date2013-09-27
Last Update Date2015-11-12
Business Address
-- GAIL R BLACK LPC
2202 MARILYN DR
JEFFERSON CITY, MO 65109-0929
Phone number: 573-469-5263
Mailing Address
-- GAIL R BLACK LPC
2202 MARILYN DR
JEFFERSON CITY, MO 65109-0929
Phone number: 573-469-5263