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1861579419
MARY ANN BLACK
LONG BEACH, CA
NPI
1861579419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 17704)
Enumeration Date
2006-11-01
Last Update Date
2012-03-01
Business Address
-- MARY ANN BLACK LCSW
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
-- MARY ANN BLACK LCSW
18222 MONTEREY LANE #214
HUNTINGTON BEACH, CA 92649-6853
Phone number: 714-960-2626
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