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1750749578
TINA BLACK
ATLANTA, GA
NPI
1750749578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004185)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- TINA BLACK LCSW
4200 NORTHSIDE PKWY NW BLDG 7
ATLANTA, GA 30327-3007
Phone number: 404-442-2348
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Mailing Address
-- TINA BLACK LCSW
4200 NORTHSIDE PKWY NW BLDG 7
ATLANTA, GA 30327-3007
Phone number: 404-442-2348
Copy
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