SANDRA BLACK, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1407803489
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 1607-123 (WI) |
Frequently Asked Questions
NPI 1407803489 is the National Provider Identifier for SANDRA BLACK, LCSW, a Social Worker - Clinical provider located in Port Washington, WI. This NPI was enumerated on May 27, 2006.
SANDRA BLACK, LCSW practices at 1317 W GRAND AVE, Port Washington, WI 53074.
Quick Facts
- NPI
- 1407803489
- Type
- Individual
- Enumerated
- May 27, 2006
- Last Updated
- Oct 18, 2007
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