Individual
MRS. MONICA FLEETWOOD BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MA
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 676-4540
Mailing address
1625 E THORNTON DR, BLOOMINGTON, IN 47401-6664
(812) 322-7583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007844A
IN
Other
Enumeration date
01/26/2019
Last updated
09/13/2019
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