Individual
VERNETTA PERRIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 649-8940
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
MI
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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