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1144889650
JOEL M BLACK
SAINT LOUIS, MO
NPI
1144889650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2017002571)
Enumeration Date
2019-06-08
Last Update Date
2020-01-24
Business Address
Mr. JOEL M BLACK LCSW
8045 BIG BEND BLVD STE 101&109
SAINT LOUIS, MO 63119-2709
Phone number: 314-800-0311
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Mailing Address
Mr. JOEL M BLACK LCSW
1235 CLIFFRIDGE LN
VALLEY PARK, MO 63088-1174
Phone number: 618-741-4985
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