Individual
MS. MERTICIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6641 KANE CREEK DR, JACKSONVILLE, FL 32244-3496
(904) 343-9230
(904) 369-0644
Mailing address
6641 KANE CREEK DR, JACKSONVILLE, FL 32244-3496
(904) 343-9230
(904) 369-0644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
10/08/2024
Last updated
05/16/2025
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