Individual
EMILY WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 KAREN LN, TALLAHASSEE, FL 32304-4029
(386) 627-3033
Mailing address
6113 PHEASANT RIDGE DR, PORT ORANGE, FL 32128-6988
(386) 627-3033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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