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1912370354
JENNIFER BLACK
CHESAPEAKE, VA
NPI
1912370354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904009158)
Enumeration Date
2015-11-06
Last Update Date
2015-11-06
Business Address
-- JENNIFER BLACK LCSW
609 INDEPENDENCE PKWY STE 115
CHESAPEAKE, VA 23320-5209
Phone number: 757-312-8002
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Mailing Address
-- JENNIFER BLACK LCSW
609 INDEPENDENCE PKWY STE 115
CHESAPEAKE, VA 23320-5209
Phone number: 757-312-8002
Copy
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