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Individual

LINDSAY WAHILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
10780 SW COUNTY ROAD 22, BRISTOL, FL 32321-5318
(904) 229-9927
Mailing address
10780 SW COUNTY ROAD 22, BRISTOL, FL 32321-5318
(904) 229-9927

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MH14508
FL

Other

Enumeration date
09/21/2016
Last updated
09/21/2016
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