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1306574983
EMMA BLACK
BEALE AFB, CA
NPI
1306574983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8585628-3501)
Enumeration Date
2022-08-11
Last Update Date
2023-08-21
Business Address
EMMA BLACK
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1905
Phone number: 530-634-3420
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Mailing Address
EMMA BLACK
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1905
Phone number: 530-634-3420
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