Individual
MS. LINDA A. VANWULFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW
Contact information
Practice address
1250 ANDREWS CIR, STARKE, FL 32091-2132
(904) 964-1540
Mailing address
PO BOX 421, NEW SMYRNA BEACH, FL 32170-0421
(386) 290-2220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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