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1487218459
WILLIAM BLACK
SAN BERNARDINO, CA
NPI
1487218459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-25
Last Update Date
2022-08-02
Business Address
WILLIAM BLACK
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-885-6852
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Mailing Address
WILLIAM BLACK
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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