Individual
LAURA WECKERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3222 CORRINE DR STE A, ORLANDO, FL 32803-2217
(407) 906-6181
Mailing address
707 S RANGER BLVD, WINTER PARK, FL 32792-4527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH14379
FL
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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