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Individual

MS. ELAINE BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
71 HILLCREST AVE, WHITE PLAINS, NY 10607-1238
(914) 882-6843
Mailing address
71 HILLCREST AVE, WHITE PLAINS, NY 10607-1238
(914) 882-6843

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
036271
NY

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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