DAVID S BLACK

LAUREL, MS
NPI1740412410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  0682)
Enumeration Date2009-08-14
Last Update Date2009-08-14
Business Address
-- DAVID S BLACK CMHT
727 W 21ST ST
LAUREL, MS 39440-2235
Phone number: 601-705-1901
Mailing Address
-- DAVID S BLACK CMHT
727 W 21ST ST
LAUREL, MS 39440-2235
Phone number: 601-705-1901
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