Individual
MRS. JULIE CHRISTINE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 W MARKET ST, FAIRLAWN, OH 44333-4215
(234) 867-5001
Mailing address
1305 ARNDALE RD, STOW, OH 44224-2307
(850) 532-5694
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2304738-TRNE
OH
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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