Individual
AMY WALDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6009 PINE BLUFF LN, MASCOTTE, FL 34753-8882
(352) 805-8423
Mailing address
6009 PINE BLUFF LN, MASCOTTE, FL 34753-8882
(352) 408-8644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 13228
FL
Other
Enumeration date
03/13/2015
Last updated
03/19/2026
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