MS. Shelia Denise Black
NPI #1003392119 in Greenville, Mississippi
Provider Information
- NPI Number
- 1003392119
- Entity Type
- Individual
- Name
- MS. Shelia Denise Black
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jul 12, 2018
- Last Updated
- Jul 12, 2018
Practice Location
- Address
- 564 CYPRESS LN APT 26D
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38701-7425
- Phone
- (662) 347-3616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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