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1417265059
TERESA LYN BLACK
MUSCODA, WI
NPI
1417265059
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Other Name
TERI BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 66-27)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
Mrs. TERESA LYN BLACK
800 NORTH SIXTH STREET RIVERDALE ELEMENTARY SCHOOL
MUSCODA, WI 53573
Phone number: 608-739-3101
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Mailing Address
Mrs. TERESA LYN BLACK
800 NORTH SIXTH STREET RIVERDALE ELEMENTARY SCHOOL
MADISON, WI 53573
Phone number: 608-739-3101
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