Individual
EMMA ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 PAYTON GIN RD, AUSTIN, TX 78758-6506
(512) 836-2150
Mailing address
1600 PAYTON GIN RD, AUSTIN, TX 78758-6506
(512) 836-2150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108049
TX
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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