Black, Susan L

Black, Susan L is an individual health care provider with primary practice located at 238 Brookley Ave 11Th Medical Group/Sgoh, Bolling Afb DC 20032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Susan L can be contacted via phone (202) 404-4242.

Contact Information

Primary practice address
238 Brookley Ave 11Th Medical Group/Sgoh Bolling Afb DC 20032
Phone: (202) 404-4242
Fax: (202) 404-7366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5364 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6383 Florida

Profile Details

NPI number 1568430528
LBN Legal business name Black, Susan L
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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