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1346605797
CHRIS BLACK
BOGALUSA, LA
NPI
1346605797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 1417)
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- CHRIS BLACK LCSW-BACS
5 SILVERT MAIN PL
BOGALUSA, LA 70427-4045
Phone number: 985-516-5275
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Mailing Address
-- CHRIS BLACK LCSW-BACS
5 SILVERT MAIN PL
BOGALUSA, LA 70427-4045
Phone number: 985-516-5275
Copy
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