MILDRED RENEE BLACK

VICKSBURG, MS
NPI1154675171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-10-29
Last Update Date2012-10-29
Business Address
-- MILDRED RENEE BLACK
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
-- MILDRED RENEE BLACK
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number:
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