Individual
ELLYN MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5005 N PIEDRAS ST, 11 W FAMILY ADVOCACY, EL PASO, TX 79920-5001
(915) 569-2800
(915) 569-1553
Mailing address
5005 N PIEDRAS ST, 11 W FAMILY ADVOCACY, EL PASO, TX 79920-5001
(915) 569-2800
(915) 569-1553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26306
TX
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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