Samantha Black, LCSW

NPI #1043987233 in Lafayette, Colorado

Provider Information

NPI Number
1043987233
Entity Type
Individual
Name
Samantha Black, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LCSW
Enumeration Date
Aug 25, 2021
Last Updated
Aug 25, 2021

Practice Location

Address
2594 TRAILRIDGE DR E
ZIP Code
80026-3186
Phone
(303) 499-7740

Specialties & Taxonomy Codes

Specialty
Social Worker

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