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Individual

CAROLYN HUBERT-BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT/DOULA

Contact information

Practice address
220 GEIGER RD, SUITE 203, PHILADELPHIA, PA 19115-1030
(267) 864-8639
Mailing address
220 GEIGER RD, SUITE 203, PHILADELPHIA, PA 19115-1030
(267) 864-8639

Taxonomy

Speciality
Code
Description
License number
State
175L00000X
Homeopath
MASSAGE THERAPIST
PA
225700000X
Massage Therapist
Primary
MSG4609
PA
374J00000X
Doula

Other

Enumeration date
11/30/2007
Last updated
05/03/2015
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