DORIS DANELLE BLACK

MOUNT VERNON, OH
NPI1598006348
Former NameDORIS DANELLE WISE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OH  S.1201160)
Enumeration Date2013-03-04
Last Update Date2013-03-04
Business Address
-- DORIS DANELLE BLACK LSW
8402 BLACKJACK ROAD EXT
MOUNT VERNON, OH 43050-9193
Phone number: 740-522-8477
Mailing Address
-- DORIS DANELLE BLACK LSW
PO BOX 4670
NEWARK, OH 43058-4670
Phone number: 740-788-0265
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