Amber R Black

NPI #1700222015 in Choctaw, Oklahoma

Provider Information

NPI Number: 1700222015
Entity Type: Individual
Name: Amber R Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 14, 2013
Last Updated: May 14, 2013

Practice Location

Address: 14700 SE 27TH CT
City: Choctaw
State: Oklahoma
ZIP Code: 73020-6596
Phone: (405) 613-8848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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