Individual
JUDITH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 213-0806
Mailing address
754 BALFOUR ST, GROSSE POINTE PARK, MI 48230-1812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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