Individual
CATHY BOONE-BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL DR, SUITE C2B, CARMEL, IN 46032-2918
(317) 507-1463
Mailing address
5716 KENYON TRL, NOBLESVILLE, IN 46062-6950
(317) 507-1463
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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