Staci D Black

NPI #1750528931 in Watonga, Oklahoma

Provider Information

NPI Number
1750528931
Entity Type
Individual
Name
Staci D Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 9, 2009
Last Updated
Jan 9, 2009

Practice Location

Address
120 W 1ST ST
ZIP Code
73772-3643
Phone
(580) 623-2545

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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