Individual
KATRINA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, APSW
Contact information
Practice address
9000 W WISCONSIN AVE STE 165, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Mailing address
9000 W WISCONSIN AVE STE 165, MILWAUKEE, WI 53226-4874
(414) 337-3400
(414) 337-3409
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130558
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054036
—
WI
Enumeration date
03/15/2017
Last updated
11/04/2025
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