Individual
BREANNE WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 N DON WICKHAM DR, CLERMONT, FL 34711-1923
(352) 394-5922
Mailing address
PO BOX 491000, LEESBURG, FL 34749-1000
(352) 315-7531
(352) 315-7587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW15020
FL
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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