Individual
MR. ANDRE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1293 COPLEY RD, AKRON, OH 44320-2766
(330) 374-1199
(330) 374-0151
Mailing address
1293 COPLEY RD, AKRON, OH 44320-2766
(330) 374-1199
(330) 374-0151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0029534
OH
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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