ERIC ANTHONY BLACK

SAINT CLOUD, MN
NPI1821850918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  29377)
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
ERIC ANTHONY BLACK
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
Mailing Address
ERIC ANTHONY BLACK
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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