Kenyatta Black
Kenyatta Black is a Clinical Social Worker in Evergreen Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
9144 S Utica AveEvergreen Park, IL 60805-1721
Phone: (773) 908-9426
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149.028310 (IL) |
|---|
Record details
| NPI number | 1891505442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 7, 2025 |
| Last updated in NPPES | January 7, 2025 |
| Certification date | January 7, 2025 |
| Mailing address | 9144 S Utica Ave, Evergreen Park, IL 60805-1721 |
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