CASEY BLACK

VANCOUVER, WA
NPI1912450305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2016-08-02
Last Update Date2018-08-23
Business Address
CASEY BLACK
1711 MAIN ST
VANCOUVER, WA 98660
Phone number: 360-200-4481
Mailing Address
CASEY BLACK
4501 NW OLIVE ST
VANCOUVER, WA 98663-1773
Phone number: 917-952-0762
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