Individual
ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3414 CLEMATIS ST, NEW ORLEANS, LA 70122-4721
(504) 264-5642
Mailing address
3414 CLEMATIS ST, NEW ORLEANS, LA 70122-4721
(504) 264-5642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15469
LA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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