Individual
CHRIS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
5 SILVERT MAIN PL, BOGALUSA, LA 70427-4045
(985) 516-5275
(985) 400-5164
Mailing address
5 SILVERT MAIN PL, BOGALUSA, LA 70427-4045
(985) 516-5275
(985) 400-5164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1417
LA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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