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1225626476
SARAH BLACK
VIENNA, IL
NPI
1225626476
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Former Name
SARAH NELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
SARAH BLACK BA, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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Mailing Address
SARAH BLACK BA, MHP
101 OLIVER ST
VIENNA, IL 62995-1660
Phone number: 618-658-2611
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