Individual
ANTHONY JOSEPH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
879 E MCLEMORE AVE, MEMPHIS, TN 38106-3337
(901) 401-6104
Mailing address
4646 POPLAR AVE STE 302, MEMPHIS, TN 38117-4433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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