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Individual

WIRDYNE JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
816 W CANAL ST S, BELLE GLADE, FL 33430-2942
(561) 654-5854
Mailing address
2134 NE 1ST CT, BOYNTON BEACH, FL 33435-2347
(561) 654-5854

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/20/2020
Last updated
04/20/2020
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