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1730332487
AGNES BLACK
HARTFORD, CT
NPI
1730332487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 231744423)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- AGNES BLACK LCSW
500 VINE ST CAPITOL REGION MENTAL HEALTH CENTER
HARTFORD, CT 06114
Phone number: 860-297-0905
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Mailing Address
-- AGNES BLACK LCSW
500 VINE STREET HUMAN RESOURCE
HARTFORD, CT 06114
Phone number: 860-297-0905
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