Donna Black, LCSW

NPI 1649451113 · on the registry since 2007

Practice

Address: 605 Stadium Dr
Hattiesburg, MS 39401
Phone: (601) 450-0310
Fax: (601) 450-0321
Organisation at this address: Hattiesburg High School And Community Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi