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Individual

RAMON JAFARI BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LLPC

Contact information

Practice address
2387 E WALTON BLVD, AUBURN HILLS, MI 48326-1955
(248) 475-6400
(248) 475-6403
Mailing address
151 SUMMIT VIEW CT, WHITE LAKE, MI 48386-3520
(248) 795-5035

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010735
MI

Other

Enumeration date
11/13/2011
Last updated
11/13/2011
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