SHANNON L BLACK

LINCOLN, NE
NPI1679595300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NE  422)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
Dr. SHANNON L BLACK Ph.D
6120 HAVELOCK AVE SUITE B
LINCOLN, NE 68507-1278
Phone number: 402-432-0745
Mailing Address
Dr. SHANNON L BLACK Ph.D
4949 ASHLAND ROAD PO BOX 533
CERESCO, NE 68017
Phone number: 402-432-0745
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