Individual
MS. JEAN ANNE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2104 LOOP RD, SUITE C, WINNSBORO, LA 71295-3338
(318) 435-4571
Mailing address
2104 LOOP RD, SUITE C, WINNSBORO, LA 71295-3338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5044
LA
Other
Enumeration date
03/21/2006
Last updated
08/25/2011
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