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Individual
MS. NANCY DUFFEY BLACK
Active
Individual
MS. NANCY DUFFEY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LICSW, CEAP, SAP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427293851
—
MN
Enumeration date
02/06/2009
Last updated
07/15/2016
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