KELLY MARIE BLACK

CLEVELAND, OH
NPI1518278209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I.1700442)
Additional Taxonomies1041C0700X Social Worker, Clinical
104100000X Social Worker
(Licence: OH  S.0900906)
Enumeration Date2010-06-28
Last Update Date2023-01-12
Business Address
KELLY MARIE BLACK LISW
1744 PAYNE AVE
CLEVELAND, OH 44114-2910
Phone number: 216-623-6555
Mailing Address
KELLY MARIE BLACK LISW
1744 PAYNE AVE
CLEVELAND, OH 44114-2910
Phone number: 216-623-6555