Individual
MS. JANICE A BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
74 BEACH ST, SACO, ME 04072-2812
(207) 284-3265
(888) 203-6496
Mailing address
15 OAK LN, EAST WATERBORO, ME 04030-5119
(207) 615-4125
(888) 203-6496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1161
ME
Other
Enumeration date
01/29/2007
Last updated
10/11/2017
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