Anita Black

NPI #1477234235 in Moore, South Carolina

Provider Information

NPI Number: 1477234235
Entity Type: Individual
Name: Anita Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Jul 26, 2023
Last Updated: Jul 26, 2023

Practice Location

Address: 182 MIDDLETON PARK LN
City: Moore
State: South Carolina
ZIP Code: 29369-7800
Phone: (864) 804-2166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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