Black, Kiki Tamika

Black, Kiki Tamika is an sole proprietor health care provider with primary practice located at 603 Hamilton Rd , South Orange NJ 07079-2709. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Black, Kiki Tamika can be contacted via phone (201) 912-3085.

Contact Information

Primary practice address
603 Hamilton Rd South Orange NJ 07079-2709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1558977884
LBN Legal business name Black, Kiki Tamika
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2020
Last updated Sep 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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