Marcelia Ann Black, LCSW
Social Worker, Clinical in Fresno, CA. Individual provider (NPI-1).
NPI number1982808507
StatusActive
Last updated in NPPESFeb 27, 2019
Details
- NPI
- 1982808507
- Entity type
- Individual (NPI-1)
- Name
- Marcelia Ann Black
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2007
- Last updated
- Feb 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS67604 | CA | Yes |
Practice location
1925 E Dakota AveFresno, CA 93726-4821
Phone 559-600-4645
Mailing address
2625 E Divisadero StFresno, CA 93721-1431
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