Individual
ALEXANDER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 SUMMER ST, SOMERVILLE, MA 02143-2706
(774) 641-9396
Mailing address
50 HARVARD ST # 2, MALDEN, MA 02148-7813
(774) 641-9396
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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