Individual
KENDRA DESHEA WOLFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 S PARK AVE, TITUSVILLE, FL 32780-5114
(321) 604-8644
Mailing address
2617 S PARK AVE, TITUSVILLE, FL 32780-5114
(321) 604-8644
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
04/29/2022
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