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1083102966
KENZIE ELLISE BLACK
CLEVELAND, OH
NPI
1083102966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: OH S.1500410)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
KENZIE ELLISE BLACK LSW
3500 CARNEGIE AVE
CLEVELAND, OH 44115-2641
Phone number: 440-260-8300
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Mailing Address
KENZIE ELLISE BLACK LSW
434 EASTLAND RD
BEREA, OH 44017-1217
Phone number: 440-234-2006
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