Mary Black

NPI #1750823456 in Saint Clair, Michigan

Provider Information

NPI Number
1750823456
Entity Type
Individual
Name
Mary Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Nov 11, 2016
Last Updated
Nov 11, 2016

Practice Location

Address
1427 OAKLAND ST
ZIP Code
48079-5122
Phone
(810) 650-5902

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