Randi Black

NPI #1255731055 in Derby, Kansas

Provider Information

NPI Number
1255731055
Entity Type
Individual
Name
Randi Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Enumeration Date
Aug 28, 2014
Last Updated
Jan 13, 2019

Practice Location

Address
1121 N COLLEGE PARK ST STE 200
City
Derby
State
Kansas
ZIP Code
67037-3639
Phone
(316) 351-8517

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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