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1659904647
CONNIE FAYE BLACK
PENSACOLA, FL
NPI
1659904647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: FL 19265)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
CONNIE FAYE BLACK
1830 E OLIVE RD
PENSACOLA, FL 32514-7582
Phone number: 850-473-4461
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Mailing Address
CONNIE FAYE BLACK
2233 E OLIVE RD STE 1
PENSACOLA, FL 32514-6153
Phone number: 850-860-2714
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