Black, Katie Marie

Black, Katie Marie is an individual health care provider with primary practice located at 3900 Broadway Ste B1 , Fort Myers FL 33901-8193. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Black, Katie Marie can be contacted via phone (239) 939-2808.

Contact Information

Primary practice address
3900 Broadway Ste B1 Fort Myers FL 33901-8193
Phone: (239) 939-2808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW4475 Florida

Profile Details

NPI number 1538294319
LBN Legal business name Black, Katie Marie
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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