Individual
DEBORAH H BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5539-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391958089
—
WI
Enumeration date
03/18/2016
Last updated
03/18/2016
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