Individual
MRS. AMY SUE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
4329 SOLUN RD, INDIANAPOLIS, IN 46221-3030
(317) 830-6276
Mailing address
4329 SOLUN RD, INDIANAPOLIS, IN 46221-3030
(317) 830-6276
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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