Individual
JULIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
9024 AVENUE POINTE CIR APT 105, ORLANDO, FL 32821-6361
(774) 254-3364
Mailing address
9024 AVENUE POINTE CIR APT 105, ORLANDO, FL 32821-6361
(774) 254-3364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH18321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
02/27/2014
Last updated
11/19/2022
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