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Individual
JULIE BLACK
Active
Individual
JULIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1215326350
MI
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
MI
Other
Enumeration date
01/13/2015
Last updated
05/06/2025
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