ANNA M BLACK

FORT WAYNE, IN
NPI1871607168
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39000048)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- ANNA M BLACK M.S.
106 THREE RIVERS N
FORT WAYNE, IN 46802-1312
Phone number: 260-426-5778
Mailing Address
-- ANNA M BLACK M.S.
106 THREE RIVERS NORTH
FORT WAYNE, IN 46802
Phone number: 260-426-5778
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