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1174120265
SHAWANDA RENE WILDER
CAPE CORAL, FL
NPI
1174120265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-10-02
Last Update Date
2020-10-02
Business Address
SHAWANDA RENE WILDER
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909-5422
Phone number: 239-652-1800
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Mailing Address
SHAWANDA RENE WILDER
616 N 10TH ST
IMMOKALEE, FL 34142-2908
Phone number: 239-290-0114
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