TAIESHA RAQUEL BLACK

COLUMBUS, OH
NPI1073134292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  CDCA.173471)
Enumeration Date2020-04-28
Last Update Date2020-04-28
Business Address
MS. TAIESHA RAQUEL BLACK
5460 CLEVELAND AVE
COLUMBUS, OH 43231-4005
Phone number: 614-568-8236
Mailing Address
MS. TAIESHA RAQUEL BLACK
5460 CLEVELAND AVE
COLUMBUS, OH 43231-4005
Phone number: 614-568-8236
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