Individual
LUCINDA M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
9611 156TH ST E, PUYALLUP, WA 98375-6743
(253) 385-7430
Mailing address
9611 156TH ST E, PUYALLUP, WA 98375-6743
(253) 385-7430
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG70012992
WA
Other
Enumeration date
02/28/2025
Last updated
01/08/2026
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