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Contact Information

ROSE M BLACK, MA REHAB COUNSELING
5573 CAROLINA HWY
DENMARK, SC29042
 Phone: 803-793-4274
 Fax: 803-793-4275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ROSE M BLACK · (Female)

NPI # 1164447819
Status Active
Credentials MA REHAB COUNSELING
Entity Individual
Enumeration date 07/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC Medicaid 413093
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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