MARY EKATERINA BLACK

MIDDLEBURG, FL
NPI1255159620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-10-02
Last Update Date2024-10-02
Business Address
MARY EKATERINA BLACK
2561 COUNTY ROAD 220 STE 304
MIDDLEBURG, FL 32068-8518
Phone number: 904-626-0188
Mailing Address
MARY EKATERINA BLACK
1087 LITTLE RUTH RD
GREEN COVE SPRINGS, FL 32043-8914
Phone number: 904-626-0188