Kathleen Black, LBSW

NPI 1902923071 · on the registry since 2007 · sole proprietor

Practice

Address: 7737 Kercheval St
Room 115
Detroit, MI 48214
Phone: (313) 925-1135
Fax: (313) 925-2508
Organisation at this address: Reach Project, Inc.
Trinity Medical Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan