Individual
ELIZABETH MARY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
19316 BRIARWOOD LN, CLINTON TOWNSHIP, MI 48036-2121
(586) 246-6096
Mailing address
19316 BRIARWOOD LN, CLINTON TOWNSHIP, MI 48036-2121
(586) 246-6096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014904
MI
Other
Enumeration date
07/28/2015
Last updated
02/03/2025
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