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1366202079
JONATHAN DIDONA BLACK
TALLAHASSEE, FL
NPI
1366202079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL ISW18644)
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
JONATHAN DIDONA BLACK
944 S LIPONA RD
TALLAHASSEE, FL 32304-4088
Phone number: 954-849-8448
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Mailing Address
JONATHAN DIDONA BLACK
944 S LIPONA RD
TALLAHASSEE, FL 32304-4088
Phone number: 954-849-8448
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