Corey Black
NPI #1720774011 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1720774011
- Entity Type
- Individual
- Name
- Corey Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 11, 2023
- Last Updated
- Apr 11, 2023
Practice Location
- Address
- 8731 N 64TH ST
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53223-2823
- Phone
- (414) 367-7176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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