Individual
SAMUEL HARVIL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.310483
OH
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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