Individual
BRANDI MONTEZ WADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1505 ORCHID AVE, WINTER PARK, FL 32789
(407) 644-4692
Mailing address
2914 GIMLI LN, CASSELBERRY, FL 32707-5941
(407) 733-5971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13729
FL
Other
Enumeration date
10/07/2014
Last updated
04/03/2019
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