Individual
COREY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-5407
Mailing address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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