Indiana
Professional Licensing Agency
Tracy Black
Clinical Social Worker
License number
34003531A
Date granted
06/24/1996
Date expires
04/01/2016
Class
Clinical Social Worker
Status
Active
Address
New Palestine IN 46163
indianalicensing.org
ID 1893717
LAST UPDATED 2024-03-04 10:24:23 UTC
LAST UPDATED 2024-03-04 10:24:23 UTC
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