Individual
JUANICCA JANEEN WEDGEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
(334) 725-2776
Mailing address
215 PERRY HILL RD, MONTGOMERY, AL 36109-3725
(334) 272-4670
(334) 725-2776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4630G
AL
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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