Channah Black

NPI #1619839065 in Moline, Illinois

Provider Information

NPI Number: 1619839065
Entity Type: Individual
Name: Channah Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Nov 24, 2025
Last Updated: Nov 24, 2025

Practice Location

Address: 4600 3RD ST
City: Moline
State: Illinois
ZIP Code: 61265-6106
Phone: (309) 779-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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