Individual
MS. JOANNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
447 1ST ST, MENOMINEE, MI 49858-3307
(906) 864-2590
(906) 864-3307
Mailing address
447 1ST ST, MENOMINEE, MI 49858-3307
(906) 864-2590
(906) 864-3058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007996
MI
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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