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1871099812
KATIE NICOLE BLACK
CONCORD, CA
NPI
1871099812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-30
Last Update Date
2018-03-30
Business Address
KATIE NICOLE BLACK
1959 SOLANO WAY
CONCORD, CA 94520-5526
Phone number: 925-676-9768
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Mailing Address
KATIE NICOLE BLACK
1959 SOLANO WAY
CONCORD, CA 94520-5526
Phone number:
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