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Organization
LESLIE J WONDRA LLC
Active
Organization
LESLIE J WONDRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE J WONDRA LCSW (OWNER)
(954) 787-9869
Entity
Organization
Contact information
Practice address
8958 W STATE ROAD 84 STE 191, DAVIE, FL 33324-4457
(954) 787-9869
Mailing address
8958 W STATE ROAD 84 STE 191, DAVIE, FL 33324-4457
(954) 787-9869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1003
WY
Other
Enumeration date
07/19/2018
Last updated
04/15/2021
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