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1336966050
EMMA ELIZABETH BLACK
AUSTIN, TX
NPI
1336966050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 108049)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
EMMA ELIZABETH BLACK LCSW
1600 PAYTON GIN RD
AUSTIN, TX 78758-6506
Phone number: 512-836-2150
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Mailing Address
EMMA ELIZABETH BLACK LCSW
1600 PAYTON GIN RD
AUSTIN, TX 78758-6506
Phone number: 512-836-2150
Copy
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