Leah Black, LCSW

NPI #1003107731 in Jackson, Wyoming

Provider Information

NPI Number
1003107731
Entity Type
Individual
Name
Leah Black, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 28, 2011
Last Updated
Feb 18, 2015

Practice Location

Address
310 E BROADWAY AVE
State
Wyoming
ZIP Code
83001-8636
Phone
(307) 654-7003

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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