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
Phone: (201) 912-3085
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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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