KANEISHA BLACK

COLUMBIA, SC
NPI1609625201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
KANEISHA BLACK Psy.D
710 WILDLIFE LN
COLUMBIA, SC 29209-3464
Phone number: 704-763-7479
Mailing Address
KANEISHA BLACK Psy.D
710 WILDLIFE LN
COLUMBIA, SC 29209-3464
Phone number: 704-763-7479