Individual
AUDREY ELAINE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2650 BAHIA VISTA ST, #105, SARASOTA, FL 34239-2611
(941) 316-0390
(941) 951-2658
Mailing address
2650 BAHIA VISTA ST, #105, SARASOTA, FL 34239-2611
(941) 316-0390
(941) 951-2658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW1569
FL
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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