Randall Carl Black, LCSW

NPI #1043322068 in Pearland, Texas

Provider Information

NPI Number: 1043322068
Entity Type: Individual
Name: Randall Carl Black, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 31, 2006
Last Updated: Mar 7, 2022

Practice Location

Address: 1610 CALICO CANYON LN
City: Pearland
State: Texas
ZIP Code: 77581-5574
Phone: (281) 450-7724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Case Manager/Care Coordinator	171M00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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