SIONAG M BLACK

BEAVER DAM, WI
NPI1821049412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  1012057)
Enumeration Date2006-05-16
Last Update Date2007-07-08
Business Address
Ms. SIONAG M BLACK PhD
200 FRONT STREET SUITE 3D
BEAVER DAM, WI 53916
Phone number: 920-885-2780
Mailing Address
Ms. SIONAG M BLACK PhD
200 FRONT STREET SUITE 3D
BEAVER DAM, WI 53916
Phone number: 920-885-2780
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