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1003081365
BUCK J BLACK
LAFAYETTE, IN
NPI
1003081365
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IN 33005111A)
Enumeration Date
2008-04-28
Last Update Date
2023-08-06
Business Address
BUCK J BLACK MSW, LCSW
100 SAW MILL RD STE 3102
LAFAYETTE, IN 47905-5592
Phone number: 765-807-6778
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Mailing Address
BUCK J BLACK MSW, LCSW
100 SAW MILL RD STE 3102
LAFAYETTE, IN 47905-5592
Phone number: 765-807-6778
Copy
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