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1396212163
ELIZABETH BLACK
OCEANSIDE, CA
NPI
1396212163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 77244)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
ELIZABETH BLACK
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056-4565
Phone number: 207-522-8667
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Mailing Address
ELIZABETH BLACK
3605 VISTA WAY STE 258
OCEANSIDE, CA 92056-4565
Phone number:
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