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1780124560
MICHAEL W BLACK
EUSTIS, FL
NPI
1780124560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH19330)
Enumeration Date
2017-02-28
Last Update Date
2024-05-19
Business Address
MICHAEL W BLACK LMHC
2880 DAVID WALKER DR # 237
EUSTIS, FL 32726-6172
Phone number: 352-910-6915
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Mailing Address
MICHAEL W BLACK LMHC
2880 DAVID WALKER DR # 237
EUSTIS, FL 32726-6172
Phone number: 352-910-6915
Copy
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