SearchMissouri101YP2500X

Debby Black, PLPC

NPI 1770600165 · on the registry since 2007 · sole proprietor

Practice

Address
104 B. West Jackson Street
Bolivar, MO 65613
Phone
(417) 777-1458
Organisation at this address
Wellness Connection Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Missouri