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1205987740
LIBBY LORRAINE BLACK
WOODHAVEN, NY
NPI
1205987740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 18 000924)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- LIBBY LORRAINE BLACK MSEd, MS
9221 76TH ST
WOODHAVEN, NY 11421-2819
Phone number: 212-365-8742
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Mailing Address
-- LIBBY LORRAINE BLACK MSEd, MS
9221 76TH ST
WOODHAVEN, NY 11421-2819
Phone number: 212-365-8742
Copy
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