Most Relevant Information
Provider Data
| NPI Number: | 1003302175 |
| Provider Name: | DORIS KAY BLACK LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2018 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
39 MURRAY GUARD DR
JACKSON
TN
383053610
Practice Location Phone/Fax
| Phone: | 7317364400 |
| Fax: |
Provider Mailing Location
39 MURRAY GUARD DR
JACKSON
TN
383053610
Provider Mailing Phone/Fax
| Phone: | 7317364400 |
| Fax: |