NICHOLAS J. BLACK

MORIARTY, NM
NPI1184764698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041S0200X Social Worker, School
(Licence: NM  M-04746)
Enumeration Date2007-02-07
Last Update Date2007-09-25
Business Address
Mr. NICHOLAS J. BLACK LMSW
350 MCNABB RD
MORIARTY, NM 87035
Phone number: 505-638-5491
Mailing Address
Mr. NICHOLAS J. BLACK LMSW
PO BOX 1395
MORIARTY, NM 87035-1395
Phone number: 505-832-4529
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