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1134337926
WANDA LOUISE BETHEA
MELBOURNE, FL
NPI
1134337926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY4731)
Enumeration Date
2007-05-18
Last Update Date
2010-07-16
Business Address
Dr. WANDA LOUISE BETHEA
405 E STRAWBRIDGE AVE
MELBOURNE, FL 32901-4558
Phone number: 321-724-6177
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Mailing Address
Dr. WANDA LOUISE BETHEA
265 LAGO CIR APT. #302
WEST MELBOURNE, FL 32904-3383
Phone number:
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