MR. Jessub W Black
NPI #1083116958 in Old Washington, Ohio
Provider Information
- NPI Number
- 1083116958
- Entity Type
- Individual
- Name
- MR. Jessub W Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 6, 2018
- Last Updated
- Apr 19, 2021
Practice Location
- Address
- 239 A OLD NATIONAL ROAD
- City
- Old Washington
- State
- Ohio
- ZIP Code
- 43768-0094
- Phone
- (740) 489-5571
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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