Individual
REGINA BERNADETTE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33800 GROESBECK HWY, CLINTON TOWNSHIP, MI 48035-3970
(586) 533-5738
Mailing address
33800 GROESBECK HWY, CLINTON TOWNSHIP, MI 48035-3970
(586) 533-5738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013502
MI
Other
Enumeration date
07/12/2013
Last updated
07/21/2022
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