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:
Health care specialties
| Specialty | Code | License # | 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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