Individual
ANITA CAROL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MSW, LCSW
Contact information
Practice address
35 NEWPORT RD, NEW LONDON, NH 03257-5413
(603) 865-1321
(603) 865-1327
Mailing address
35 NEWPORT RD, NEW LONDON, NH 03257-5413
(603) 865-1321
(603) 865-1327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2931
NH
1041C0700X
Clinical Social Worker
C006051
NC
Other
Enumeration date
07/07/2008
Last updated
03/16/2023
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