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1538491634
HEATHER WITTMANN BLACK
GULFPORT, MS
NPI
1538491634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C5680)
Enumeration Date
2010-02-01
Last Update Date
2018-02-07
Business Address
Ms. HEATHER WITTMANN BLACK LCSW
2214 25TH AVE UNIT 2
GULFPORT, MS 39501-4520
Phone number: 228-223-2205
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Mailing Address
Ms. HEATHER WITTMANN BLACK LCSW
222 BOGGS CIR
LONG BEACH, MS 39560-5807
Phone number: 228-223-2205
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