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1700156007
ERIN L BLACK
MODESTO, CA
NPI
1700156007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA LCSW69762)
Enumeration Date
2012-01-04
Last Update Date
2016-02-24
Business Address
Ms. ERIN L BLACK LCSW
426 14TH ST STE 119
MODESTO, CA 95354-2661
Phone number: 209-222-8515
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Mailing Address
Ms. ERIN L BLACK LCSW
426 14TH ST STE 119
MODESTO, CA 95354-2661
Phone number: 209-222-8515
Copy
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