Eric Black, LSW
Social Worker in Bangor, PA. Individual provider (NPI-1).
NPI number1831528066
StatusActive
Last updated in NPPESNov 7, 2013
Details
- NPI
- 1831528066
- Entity type
- Individual (NPI-1)
- Name
- Eric Black
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2013
- Last updated
- Nov 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | SW130486 | PA | Yes |
Practice location
51 Market StBangor, PA 18013-1901
Phone 610-588-9109
Mailing address
51 Market StBangor, PA 18013-1901
Phone 610-588-9109
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