Individual
SUSAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 EDGEWORTH AVE, CAMBRIDGE, OH 43725-1130
(740) 260-8805
Mailing address
1150 EDGEWORTH AVE, CAMBRIDGE, OH 43725-1130
(740) 260-8805
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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