-- LEAH BLACK -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1003107731- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 310 E BROADWAY AVE, JACKSON, WY, 830018636
- Phone
- (307) 654-7003
- Fax
- (307) 224-4973
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WY #LCSW-742