Individual
MISS KARYS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LLC IS 7010 15TH ST. N., ST PETERSBURG, FL 33702
(440) 539-3807
Mailing address
2028 BRAMPTON RD, CLEARWATER, FL 33755-1307
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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