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1538294319
KATIE MARIE BLACK
FORT MYERS, FL
NPI
1538294319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: FL ISW4475)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
Miss KATIE MARIE BLACK MSW
3900 BROADWAY STE B1
FORT MYERS, FL 33901-8193
Phone number: 239-939-2808
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Mailing Address
Miss KATIE MARIE BLACK MSW
12339 WOODROSE CT APT 4
FORT MYERS, FL 33907-4634
Phone number: 239-560-8239
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