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1467024497
LAUREL FAYE BLACK
CLARKSVILLE, TN
NPI
1467024497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
LAUREL FAYE BLACK MSSW
1445 BUCHANON DR
CLARKSVILLE, TN 37042-3348
Phone number: 206-473-0173
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Mailing Address
LAUREL FAYE BLACK MSSW
1445 BUCHANON DR
CLARKSVILLE, TN 37042-3348
Phone number: 206-473-0173
Copy
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