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Janice Black, LCSW

Social Worker, Clinical in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1891127635
StatusActive
Last updated in NPPESAug 3, 2013

Details

NPI
1891127635
Entity type
Individual (NPI-1)
Name
Janice Black
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2013
Last updated
Aug 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW.09923269COYes

Practice location

524 N Tejon St
Suite 3 - Upstairs
Colorado Springs, CO 80903-4926

Phone 719-201-0887 · Fax 480-275-3789

Mailing address

524 N Tejon St
Suite 3 - Upstairs
Colorado Springs, CO 80903-4926

Phone 719-201-0887 · Fax 480-275-3789

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