ROBERT BENTON BLACK

ROLLING FORK, MS
NPI1255167797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  S5249)
Enumeration Date2024-09-11
Last Update Date2024-09-11
Business Address
Mr. ROBERT BENTON BLACK M.S. SLP
431 W RACE ST
ROLLING FORK, MS 39159-2625
Phone number: 662-795-0440
Mailing Address
Mr. ROBERT BENTON BLACK M.S. SLP
431 W RACE ST
ROLLING FORK, MS 39159-2625
Phone number: 662-571-7667