TAYLOR RAE BLACK

NEGAUNEE, MI
NPI1629563390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-26
Last Update Date2018-06-26
Business Address
TAYLOR RAE BLACK
104 MALTON RD
NEGAUNEE, MI 49866
Phone number: 909-228-4692
Mailing Address
TAYLOR RAE BLACK
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699