Individual
KATIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2185 NORMANDIE DR, MONTGOMERY, AL 36111-2728
(334) 395-4489
Mailing address
102 STRENGTH ST, PRATTVILLE, AL 36067-6231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5589
AL
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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