Individual
MS. CYNTHIA CATHERINE GRASS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
8592 BELL LANE, CROWN POINT, IN 46307
(219) 775-7529
(219) 937-3012
Mailing address
8592 BELL LANE, CROWN POINT, IN 46307
(219) 775-7529
(219) 937-3012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.004331
IL
1041C0700X
Clinical Social Worker
Primary
34003234A
IN
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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