Liz-El Dominique Black

NPI #1245003961 in Exton, Pennsylvania

Provider Information

NPI Number
1245003961
Entity Type
Individual
Name
Liz-El Dominique Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Nov 3, 2023
Last Updated
Nov 3, 2023

Practice Location

Address
124 JOHN ROBERT THOMAS DR
City
Exton
ZIP Code
19341-2655
Phone
(484) 987-9870

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor

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