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1093597510
SHANEQUA BLACK
SHERMAN OAKS, CA
NPI
1093597510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW114986)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
SHANEQUA BLACK
4401 SEPULVEDA BLVD UNIT 210
SHERMAN OAKS, CA 91403-3934
Phone number: 562-392-0011
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Mailing Address
SHANEQUA BLACK
1801 E KATELLA AVE APT 4167
ANAHEIM, CA 92805-6673
Phone number: 562-392-0011
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