Carla Black

NPI #1992193999 in Redford, Michigan

Provider Information

NPI Number: 1992193999
Entity Type: Individual
Name: Carla Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 30, 2014
Last Updated: Dec 30, 2014

Practice Location

Address: 19335 CENTRALIA
City: Redford
State: Michigan
ZIP Code: 48240-1410
Phone: (313) 648-5208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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