DEIDRE BLACK

COLUMBUS, OH
NPI1700348455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
DEIDRE BLACK
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number: 614-334-6903
Mailing Address
DEIDRE BLACK
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number:
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