DERRELL BLACK

TOLEDO, OH
NPI1427847094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-05-01
Last Update Date2025-05-01
Business Address
DERRELL BLACK
3170 W CENTRAL AVE
TOLEDO, OH 43606-2945
Phone number: 567-803-9706
Mailing Address
DERRELL BLACK
3170 W CENTRAL AVE
TOLEDO, OH 43606-2945
Phone number: 567-803-9706
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