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1700342540
KATHERINE L BLACK
ORANGE PARK, FL
NPI
1700342540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW15161)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
KATHERINE L BLACK LCSW
1543 KINGSLEY AVE STE 14
ORANGE PARK, FL 32073-4570
Phone number: 904-264-6977
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Mailing Address
KATHERINE L BLACK LCSW
1543 KINGSLEY AVE STE 14
ORANGE PARK, FL 32073-4570
Phone number: 904-264-6977
Copy
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