Mrs. FLOANNA BLACK MA, TLLP
Individual Provider (NPI-1)
Active
Technician, Other
Provider Information
- NPI Number
1447600549- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MA, TLLP
- Status
- Active
Contact & Location
- Address
- 19853 OUTER DR STE 110, DEARBORN, MI, 481242044
- Phone
- (313) 406-5056
- Fax
- (313) 908-9181
Specialties & Taxonomies
Psychologist, Clinical
License: MI #6301017194
Technician, Other
Primary