SANDRA E BLACK

PORT WASHINGTON, WI
NPI1407803489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  1607-123)
Enumeration Date2006-05-27
Last Update Date2007-10-18
Business Address
SANDRA E BLACK LCSW
1317 W GRAND AVE
PORT WASHINGTON, WI 53074-2075
Phone number: 262-284-5789
Mailing Address
SANDRA E BLACK LCSW
1317 W GRAND AVE
PORT WASHINGTON, WI 53074-2075
Phone number: 262-284-5789
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