Individual
MS. ELIZABETH JEAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
142 BRIGHTON LAKE RD, BRIGHTON, MI 48116-1738
(810) 844-1476
Mailing address
5500 ARMSTRONG RD, VA MEDICAL CENTER, BATTLE CREEK, MI 49037-7314
(269) 838-3438
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801089051
MI
1041C0700X
Clinical Social Worker
L1108729
MI
Other
Enumeration date
11/26/2007
Last updated
12/07/2021
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