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1831890003
RENATE ELIZABETH BLACK
DETROIT, MI
NPI
1831890003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
RENATE ELIZABETH BLACK
626 E GRAND BLVD
DETROIT, MI 48207-3513
Phone number: 313-993-4700
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Mailing Address
RENATE ELIZABETH BLACK
18694 STOEPEL ST
DETROIT, MI 48221-2251
Phone number: 313-854-7402
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