Individual
MS. JULIA ANN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
718 CLIVEDEN RD, PIKESVILLE, MD 21208-4765
(410) 624-9581
Mailing address
718 CLIVEDEN RD, PIKESVILLE, MD 21208-4765
(410) 624-9581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12473
MD
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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