Desiree Nicole Black

NPI #1356111082 in Catoosa, Oklahoma

Provider Information

NPI Number
1356111082
Entity Type
Individual
Name
Desiree Nicole Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 4, 2024
Last Updated
Jan 4, 2024

Practice Location

Address
19320 E ADMIRAL PL STE B
ZIP Code
74015-3240
Phone
(918) 340-5503

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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