Individual
MR. ANTHONY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701
(570) 552-6000
(570) 552-6021
Mailing address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
(570) 552-6021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014410
PA
Other
Enumeration date
03/01/2007
Last updated
05/24/2018
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