Individual
ELIZABETH M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
27 BURR ST APT 1, BREWER, ME 04412-2265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11330
ME
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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