Eric Black, LSW

NPI #1831528066 in Bangor, Pennsylvania

Provider Information

NPI Number: 1831528066
Entity Type: Individual
Name: Eric Black, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Nov 7, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 51 MARKET ST
City: Bangor
State: Pennsylvania
ZIP Code: 18013-1901
Phone: (610) 588-9109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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