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1992193999
CARLA BLACK
REDFORD, MI
NPI
1992193999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401013957)
Enumeration Date
2014-12-30
Last Update Date
2014-12-30
Business Address
-- CARLA BLACK
19335 CENTRALIA
REDFORD, MI 48240-1410
Phone number: 313-648-5208
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Mailing Address
-- CARLA BLACK
19335 CENTRALIA
REDFORD, MI 48240-1410
Phone number:
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