Individual
MS. CAROLINE GRACE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2400 GORDON SMITH DR, MOBILE, AL 36617
(251) 473-4423
Mailing address
5859 APPLE TREE RD, MOBILE, AL 36609
(251) 656-6522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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