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LUCY MARY BLACK

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992137319

Individual Registrant:
 LUCY MARY BLACK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
AIRPORT ROAD  HOOPER BAY, AK 99604-0049 US
Tel: 907-758-3500  Fax: 907-758-3540

Contact information for business:
PO BOX 49  HOOPER BAY, AK 99604-0049 US
Tel: 907-758-3500  Fax: 907-758-3540

Registration Information:
NPI: 1992137319
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1020986AK05




HEALTH CARE JOBS AK - Page 1



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