Individual
MRS. RENEE GARCIA WYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2950 HALCYON LN, SUITE 703, JACKSONVILLE, FL 32223-6689
(904) 638-7042
Mailing address
2950 HALCYON LN, SUITE 703, JACKSONVILLE, FL 32223-6689
(904) 638-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW6557
FL
Other
Enumeration date
09/08/2005
Last updated
04/06/2011
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