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1821506163
CHRISTOPHER G BLACK
WEST LAFAYETTE, IN
NPI
1821506163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist Counseling
(Licence: IN 20043106A)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
DR. CHRISTOPHER G BLACK PH.D.
703 3RD ST RM 1120
WEST LAFAYETTE, IN 47907-2081
Phone number: 765-494-6995
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Mailing Address
DR. CHRISTOPHER G BLACK PH.D.
617 DRIFTWOOD DR E APT 101
LAFAYETTE, IN 47905-6069
Phone number: 314-497-4844
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