Individual
MS. ELIZABETH A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 MONUMENT ST, CHARLESTOWN, MA 02129-2121
(617) 643-5026
(617) 643-5025
Mailing address
76 MONUMENT ST, CHARLESTOWN, MA 02129-2121
(617) 643-5026
(617) 643-5025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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