Carollyn Black is an addiction (substance use disorder) counselor in Milwaukee, WI. Carollyn Black NPI is 1689216293. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4892 N 19TH ST
MILWAUKEE, WI
ZIP 53209-757
Phone: (414) 595-3630
The enumeration date for this NPI number is 10/15/2019 and was last updated on 10/15/2019.