Individual
LARISA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 RANSOM PL, NASHVILLE, TN 37217-3841
(615) 460-4357
Mailing address
2815 PENN MEADE DR, NASHVILLE, TN 37214-1175
(615) 916-1680
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TN
Other
Enumeration date
12/15/2011
Last updated
08/15/2013
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