Individual
JULIA ANN WALDRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3228 AVOCET LN, ORANGE PARK, FL 32065-7386
(918) 695-8542
Mailing address
3228 AVOCET LN, ORANGE PARK, FL 32065-7386
(918) 695-8542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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