Brenda Black Lcsw PC

NPI #1265743637 in Evanston, Illinois

Provider Information

NPI Number: 1265743637
Entity Type: Organization
Organization Name: Brenda Black Lcsw PC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 30, 2010
Last Updated: Jun 23, 2011

Practice Location

Address: 717 MAIN ST
Address 2: SUITE 2E
City: Evanston
State: Illinois
ZIP Code: 60202-1701
Phone: (312) 718-6996

Authorized Official

Name: MS. BRENDA N BLACK, LCSW PC
Title: OWNER
Phone: (312) 718-6996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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