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1518922038
ANTOINETTE MARINO BLACK
INDIANAPOLIS, IN
NPI
1518922038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 35001409A)
Enumeration Date
2006-04-18
Last Update Date
2020-04-20
Business Address
ANTOINETTE MARINO BLACK LMFT
9165 OTIS AVE STE 103
INDIANAPOLIS, IN 46216-2307
Phone number: 317-847-5697
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Mailing Address
ANTOINETTE MARINO BLACK LMFT
6904 N LAREDO DR
MC CORDSVILLE, IN 46055-6048
Phone number: 317-847-5697
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