Individual
CHIQUITA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
3500 N STATE ROAD 7 STE 211, LAUDERDALE LAKES, FL 33319-5625
(954) 578-8399
Mailing address
802 NW 3RD ST, DANIA, FL 33004-2710
(786) 295-1815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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