Individual
MRS. TDANNA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 897-0388
Mailing address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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