KENZIE ELLISE BLACK

CLEVELAND, OH
NPI1083102966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.1500410)
Enumeration Date2018-04-26
Last Update Date2018-04-26
Business Address
KENZIE ELLISE BLACK LSW
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
Mailing Address
KENZIE ELLISE BLACK LSW
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006