KENYATTA BLACK

EVERGREEN PARK, IL
NPI1891505442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.028310)
Enumeration Date2025-01-07
Last Update Date2025-01-07
Business Address
KENYATTA BLACK
9144 S UTICA AVE
EVERGREEN PARK, IL 60805-1721
Phone number: 773-908-9426
Mailing Address
KENYATTA BLACK
9144 S UTICA AVE
EVERGREEN PARK, IL 60805-1721
Phone number: 773-908-9426