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1952066441
AMY KRISTIN BLACK
HINES, IL
NPI
1952066441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.022647)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
AMY KRISTIN BLACK LCSW
5000 S 5TH AVE
HINES, IL 60141-3030
Phone number: 708-202-7816
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Mailing Address
AMY KRISTIN BLACK LCSW
3342 N OAKLEY AVE APT 3N
CHICAGO, IL 60618-6235
Phone number: 312-231-8593
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