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1598325607
COREY BLACK
NEW ORLEANS, LA
NPI
1598325607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
COREY BLACK
1430 TULANE AVE
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-5407
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Mailing Address
COREY BLACK
1430 TULANE AVE
NEW ORLEANS, LA 70112-2632
Phone number:
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