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1841854973
ELIZABETH ANNE RENEE BLACK
TRAVERSE CITY, MI
NPI
1841854973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401013136)
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
ELIZABETH ANNE RENEE BLACK LLPC
1000 HASTINGS ST
TRAVERSE CITY, MI 49686-3445
Phone number: 231-947-8110
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Mailing Address
ELIZABETH ANNE RENEE BLACK LLPC
1000 HASTINGS ST
TRAVERSE CITY, MI 49686-3445
Phone number: 231-947-8110
Copy
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