Individual
EMILY RAYLYNN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
113 E 41ST ST, COVINGTON, KY 41015-1841
(859) 816-9863
Mailing address
113 E 41ST ST, COVINGTON, KY 41015-1841
(859) 816-9863
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
257456
KY
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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