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Search › Missouri › 103K00000X

Nicole Black

NPI 1801175773 · on the registry since 2011 · sole proprietor

Practice

Address
1085 Maple St
Farmington, MO 63640
Phone
(573) 756-5353
Fax
(573) 756-4557
Organisation at this address
Bjc Behavioral Health
Bjc Behavioral Health
Bjc Behavioral Health
Bjc Behavioral Health
Bjc Behavioral Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
302

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2011-08-10

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