Individual
MRS. JENNIFER BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3142 VISTA WAY STE 205, OCEANSIDE, CA 92056-3628
(760) 758-1480
(760) 435-9472
Mailing address
3142 VISTA WAY STE 205, OCEANSIDE, CA 92056-3628
(760) 758-1480
(760) 435-9472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS 25959
CA
Other
Enumeration date
03/06/2007
Last updated
03/15/2011
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