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1801120662
JENNIFER BLACK
FORT MYERS, FL
NPI
1801120662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA 7436)
Enumeration Date
2009-09-28
Last Update Date
2009-09-28
Business Address
-- JENNIFER BLACK MA CCC SLP
3778 HANOVER ST
FORT MYERS, FL 33901-8503
Phone number: 239-939-6993
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Mailing Address
-- JENNIFER BLACK MA CCC SLP
3778 HANOVER ST
FORT MYERS, FL 33901-8503
Phone number: 239-939-6993
Copy
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