Elizabeth Black
NPI #1063193902 in Michigan City, Indiana
Provider Information
- NPI Number
- 1063193902
- Entity Type
- Individual
- Name
- Elizabeth Black
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 25, 2023
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 107 WOODLAND CT STE B
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-7393
- Phone
- (219) 229-7188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
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