Buck J Black MSW, LSW

NPI 1003081365 - Social Worker - 104100000X

NPI Details
NPI 1003081365
Gender Male
Enumeration Date 04/28/2008
Last Updated 11/12/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
100 SAW MILL RD
STE 3102
LAFAYETTE IN, 47905-5592, US
Phone (765) 807-6778
Fax (765) 807-6778
Business Location
100 SAW MILL RD
STE 3102
LAFAYETTE IN, 47905-5592, US
Phone (765) 807-6778
Fax
Toxanomy
Taxonomy Code 104100000X
License State Indiana
License Number 33005111A
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According to our database, Buck J Black MSW, LSW NPI is 1003081365, taxonomy code is 104100000X and license number is 33005111A, license state is located at Indiana. Buck J Black MSW, LSW physically located at 100 Saw Mill Rd, Lafayette IN, 47905-5592. NPI Number Buck J Black MSW, LSW has the Individual type.

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1003081365 NPI number is provided on an as is basis without warranty of any kind. 1003081365 is maintained by the National Plan & Provider Enumeration System. The contents of Buck J Black MSW, LSW are for informational purposes only.