Donna Maria Black, LCSW Valid NPI
Individual provider · Social Worker · Hattiesburg, MS
- NPI
- 1649451113
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- C0468 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-11-26
- Last updated
- 2011-07-08
Practice location
605 Stadium Dr
Hattiesburg, MS 39401-4156
(601) 450-0310