TODD BLACK

SAN CARLOS, CA
NPI1194271155
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-08-30
Last Update Date2016-08-30
Business Address
-- TODD BLACK
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number: 650-591-9623
Mailing Address
-- TODD BLACK
610 ELM ST STE 212
SAN CARLOS, CA 94070-3070
Phone number:
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