| M. M. Black Lcsw Llc | |
|
9150 Sw 87th Ave Ste B100 Miami FL 33176-2311 | |
| (202) 558-8770 | |
| Not Available |
| Full Name | M. M. Black Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9150 Sw 87th Ave Ste B100, Miami, Florida |
| Authorized Official Name and Position | Melissa M Black (OWNER) |
| Authorized Official Contact | 2025588770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. M. Black Lcsw Llc Po Box 565084 Miami FL 33256-5084 Ph: () - | M. M. Black Lcsw Llc 9150 Sw 87th Ave Ste B100 Miami FL 33176-2311 Ph: (202) 558-8770 |
| NPI Number | 1487299061 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487299061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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