WENDY ELLEN MITA

WELLINGTON, FL
NPI1144477480
Former NameWENDY ELLEN BLOOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW11682)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NJ  44SC04931900)
Enumeration Date2008-08-19
Last Update Date2019-09-04
Business Address
Ms. WENDY ELLEN MITA LCSW
11120 S CROWN WAY STE 1
WELLINGTON, FL 33414-8718
Phone number: 561-790-1191
Mailing Address
Ms. WENDY ELLEN MITA LCSW
481 HACKENSACK AVE
HACKENSACK, NJ 07601-6304
Phone number: 201-488-6678