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CHIQUITA BLACK B.S.

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497065668

Individual Registrant:
 CHIQUITA  BLACK B.S.
Gender: F
Sole Proprietor

Location and contact information for practice:
3500 N STATE ROAD 7 STE 211  LAUDERDALE LAKES, FL 33319-5625 US
Tel: 954-578-8399  Fax: --

Contact information for business:
802 NW 3RD ST  DANIA, FL 33004-2710 US
Tel: 786-295-1815  Fax: --

Registration Information:
NPI: 1497065668
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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