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1942989645
NICOLE BLACK
COLUMBIA, MO
NPI
1942989645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
NICOLE BLACK LMSW
5505 CARRICK CT
COLUMBIA, MO 65203-5156
Phone number: 610-675-5326
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Mailing Address
NICOLE BLACK LMSW
5505 CARRICK CT
COLUMBIA, MO 65203-5156
Phone number: 610-675-5326
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