MARTINE ROSE WALLENBERG

SOUTH DAYTONA, FL
NPI1184270621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  IMH15151)
Enumeration Date2019-08-12
Last Update Date2023-11-27
Business Address
Ms. MARTINE ROSE WALLENBERG MS, Ed.D
2400 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119-3097
Phone number: 386-631-8270
Mailing Address
Ms. MARTINE ROSE WALLENBERG MS, Ed.D
315 PHEASANT RD
SATSUMA, FL 32189-2394
Phone number: 386-559-2323
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