Mildred Renee Black is a mental health counselor in Vicksburg, MS. Mildred Renee Black NPI is 1154675171. 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:
3444 WISCONSIN AVE
VICKSBURG, MS
ZIP 39180-331
Phone: (601) 638-0031
The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.