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Individual
JOHN ALAN BLACK
Active
Individual
JOHN ALAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019644
IL
1041C0700X
Clinical Social Worker
4135
OK
1041C0700X
Clinical Social Worker
56085
TX
Other
Enumeration date
11/24/2010
Last updated
03/17/2018
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