Black, Suzanne

Black, Suzanne is an sole proprietor health care provider with primary practice located at 100 Lafayette St , Pawtucket RI 02860-6008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Black, Suzanne can be contacted via phone (401) 421-0355.

Contact Information

Primary practice address
100 Lafayette St Pawtucket RI 02860-6008
Phone: (401) 421-0355
Fax: (401) 475-1591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDP00189 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00255 Rhode Island

Profile Details

NPI number 1255497988
LBN Legal business name Black, Suzanne
Credentials MS, MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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