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1144521501
JONATHAN R BLACK
BOCA RATON, FL
NPI
1144521501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY8145)
Enumeration Date
2010-11-16
Last Update Date
2014-07-29
Business Address
Dr. JONATHAN R BLACK PsyD
2290 NW 2ND AVE SUITE 7
BOCA RATON, FL 33431-7457
Phone number: 561-706-1004
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Mailing Address
Dr. JONATHAN R BLACK PsyD
7546 OAKBORO DR
LAKE WORTH, FL 33467-7504
Phone number: 954-629-8150
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