| NPI | 1477745446 |
|---|---|
| Other Name | STEPHANIE PATRICE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6656502-3502) |
| 1041C0700X Social Worker, Clinical (Licence: UT 6656502-3501) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2013-10-03 |