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Individual

EILEEN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4 NESHAMINY INTERPLEX SUITE 202, TREVOSE, PA 19090
(215) 322-8860
Mailing address
415 DAVISVILLE ROAD APT. C, WILLOW GROVE, PA 19090

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/03/2017
Last updated
09/03/2017
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