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1629563390
TAYLOR RAE BLACK
NEGAUNEE, MI
NPI
1629563390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
TAYLOR RAE BLACK
104 MALTON RD
NEGAUNEE, MI 49866
Phone number: 909-228-4692
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Mailing Address
TAYLOR RAE BLACK
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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