Tara Black, LICSW
NPI #1922293125 in Hadley, Massachusetts
Provider Information
- NPI Number
- 1922293125
- Entity Type
- Individual
- Name
- Tara Black, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Mar 12, 2021
Practice Location
- Address
- 185 RUSSELL ST
- City
- Hadley
- State
- Massachusetts
- ZIP Code
- 01035-9521
- Phone
- (201) 248-9878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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