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Individual
MICHELE CATHERINE BLACK
Active
Individual
MICHELE CATHERINE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SA8723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890920200
—
FL
Enumeration date
10/15/2006
Last updated
02/16/2025
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