ELIZABETH BLACK

MICHIGAN CITY, IN
NPI1063193902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34011206A)
Additional Taxonomies104100000X Social Worker
(Licence: IN  33010846A)
Enumeration Date2023-07-25
Last Update Date2024-09-24
Business Address
ELIZABETH BLACK
107 WOODLAND CT STE B
MICHIGAN CITY, IN 46360-7393
Phone number: 219-229-7188
Mailing Address
ELIZABETH BLACK
141 KINGSBURY AVE
LA PORTE, IN 46350-5260
Phone number: