AMY KRISTIN BLACK

HINES, IL
NPI1952066441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.022647)
Enumeration Date2021-11-01
Last Update Date2021-11-01
Business Address
AMY KRISTIN BLACK LCSW
5000 S 5TH AVE
HINES, IL 60141-3030
Phone number: 708-202-7816
Mailing Address
AMY KRISTIN BLACK LCSW
3342 N OAKLEY AVE APT 3N
CHICAGO, IL 60618-6235
Phone number: 312-231-8593