Becky Sue Black
Case Manager/Care Coordinator in Palmer, AK. Individual provider (NPI-1).
NPI number1730003179
StatusActive
Last updated in NPPESAug 7, 2026
Details
- NPI
- 1730003179
- Entity type
- Individual (NPI-1)
- Name
- Becky Sue Black
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2026
- Certification date
- Aug 7, 2026
- Last updated
- Aug 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
12610 E Fence Line DrPalmer, AK 99645-8149
Phone 907-795-7377 · Fax 844-955-1818
Mailing address
12610 E Fence Line DrPalmer, AK 99645-8149
Phone 907-795-7377 · Fax 844-955-1818
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