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Individual
XENIA ZELDIN BLACK
Active
Individual
XENIA ZELDIN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016008416
MO
323P00000X
Psychiatric Residential Treatment Facility
2013018485
MO
Other
Enumeration date
06/17/2013
Last updated
05/11/2023
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