GEORGIA ROSE BLACK

NEW BERLIN, WI
NPI1497378947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  4665)
Additional Taxonomies221700000X Art Therapist
Enumeration Date2020-05-19
Last Update Date2022-01-18
Business Address
GEORGIA ROSE BLACK MS
4855 S MOORLAND RD STE 150
NEW BERLIN, WI 53151-7495
Phone number: 262-432-7702
Mailing Address
GEORGIA ROSE BLACK MS
9000 W WISCONSIN AVE # MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615
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