Black, Katherine L
Black, Katherine L is an sole proprietor health care provider with primary practice located at 1543 Kingsley Ave Ste 14 , Orange Park FL 32073-4570. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Katherine L can be contacted via phone (904) 264-6977.Contact Information
Primary practice address
1543 Kingsley Ave Ste 14
Orange Park FL 32073-4570
Phone: (904) 264-6977
Fax: (904) 269-0870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW15161 | Florida |
Profile Details
| NPI number | 1700342540 |
|---|---|
| LBN Legal business name | Black, Katherine L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2019 |
| Last updated | Feb 18th, 2019 - about 7 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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