Donna Maria Black LCSW

NPI 1649451113 - Social Worker - 104100000X

NPI Details
NPI 1649451113
Gender Female
Enumeration Date 11/26/2007
Last Updated 07/08/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
HATTIESBURG MS, 39401-4156, US
Phone (601) 450-0310
Fax (601) 450-0321
Business Location
PO BOX 1729
HATTIESBURG MS, 39403-1729, US
Phone (601) 450-0310
Fax (601) 450-0321
Taxonomy Code 104100000X
License State Mississippi
License Number C0468
Remove 1649451113 NPI Number

According to our database, Donna Maria Black LCSW NPI is 1649451113, taxonomy code is 104100000X and license number is C0468, license state is located at Mississippi. Donna Maria Black LCSW physically located at 605 Stadium Dr, Hattiesburg MS, 39401-4156. NPI Number Donna Maria Black LCSW has the Individual type.

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1649451113 NPI number is provided on an as is basis without warranty of any kind. 1649451113 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Maria Black LCSW are for informational purposes only.