Individual
MRS. WANDA M LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS OF EDUCATION
Contact information
Practice address
7150 NW 22ND DRIVE, JENNINGS, FL 32053
(229) 506-3999
(386) 487-0366
Mailing address
PO BOX 180, JENNINGS, FL 32053-0180
(386) 938-2097
(386) 938-2636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
251B00000X
Case Management Agency
—
FL
Other
Enumeration date
08/07/2014
Last updated
12/28/2022
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