Individual
SUSAN L BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
238 BROOKLEY AVE, 11TH MEDICAL GROUP/SGOH, BOLLING AFB, DC 20032
(202) 404-4242
(202) 404-7366
Mailing address
5007 EDENVALE CT, WALDORF, MD 20602-3189
(202) 404-4242
(202) 404-7366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5364
SC
1041C0700X
Clinical Social Worker
Primary
6383
FL
Other
Enumeration date
03/08/2006
Last updated
09/11/2025
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