Individual
KATHERINE LOIS WALDHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S SWOOPE AVE STE 201B, MAITLAND, FL 32751-5784
(407) 543-1196
Mailing address
125 S SWOOPE AVE STE 201B, MAITLAND, FL 32751-5784
(407) 543-1196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25894
FL
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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