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Individual

MRS. LATANYA FAYE WYNNHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
605 NE 1ST ST STE C, GAINESVILLE, FL 32601-3318
(352) 334-0955
Mailing address
1485 S SEMORAN BLVD STE 1448, WINTER PARK, FL 32792-5508
(321) 397-3000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
04/24/2012
Last updated
04/24/2012
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