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1225641780
JACQUELINE MARY BRUENING WENDORF
FORT MYERS, FL
NPI
1225641780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW4670)
Enumeration Date
2020-08-25
Last Update Date
2022-02-16
Business Address
JACQUELINE MARY BRUENING WENDORF LCSW
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905-7813
Phone number: 239-343-9560
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Mailing Address
JACQUELINE MARY BRUENING WENDORF LCSW
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9560
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