Individual
DEVIN LEVAUGHN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4137 SOUTHERN AVE APT 303, CAPITOL HEIGHTS, MD 20743-6898
(202) 905-6239
Mailing address
4137 SOUTHERN AVE APT 303, CAPITOL HEIGHTS, MD 20743-6898
(202) 905-6239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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