Individual
JODY ILENE WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 N STATE ROAD 7 BLDG B, LAUDERDALE LAKES, FL 33319-5860
(954) 497-3856
Mailing address
4410 NW 6TH CT, COCONUT CREEK, FL 33066-1522
(954) 984-2984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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