LIZ-EL DOMINIQUE BLACK

EXTON, PA
NPI1245003961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-11-03
Last Update Date2023-11-03
Business Address
LIZ-EL DOMINIQUE BLACK
124 JOHN ROBERT THOMAS DR
EXTON, PA 19341-2655
Phone number: 484-987-9870
Mailing Address
LIZ-EL DOMINIQUE BLACK
937 VAN SANT LN
AMBLER, PA 19002-5054
Phone number: 215-421-4164
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