Black, Wendie G

Black, Wendie G is an individual health care provider with primary practice located at 3490 E. Rio Virgin Rd. , Littlefield AZ 86432. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Black, Wendie G can be contacted via phone (928) 347-5486.

Contact Information

Primary practice address
3490 E. Rio Virgin Rd. Littlefield AZ 86432
Phone: (928) 347-5486
Fax: (928) 347-5967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3041974 Arizona

Profile Details

NPI number 1386911386
LBN Legal business name Black, Wendie G
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2011
Last updated Nov 19th, 2011 - about 14 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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