JACQUELINE BLACK

INDIANAPOLIS, IN
NPI1457912420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  39003454A)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
JACQUELINE BLACK LMHC
6950 HILLSDALE CT
INDIANAPOLIS, IN 46250-2040
Phone number: 317-621-7740
Mailing Address
JACQUELINE BLACK LMHC
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: