Individual
MARGARET PROSSER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13050 PARKSIDE DR, SUITE 240, FISHERS, IN 46038-8247
(317) 621-1100
(317) 621-1000
Mailing address
8355 ROCKVILLE RD 120, INDIANAPOLIS, IN 46234-2722
(317) 908-1678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005080A
IN
Other
Enumeration date
04/06/2006
Last updated
07/22/2015
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