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1750757373
BRIAN WAHL
DEBARY, FL
NPI
1750757373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW12336)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- BRIAN WAHL LCSW
356 ENGLENOOK DR
DEBARY, FL 32713-1805
Phone number: 386-236-3200
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Mailing Address
-- BRIAN WAHL LCSW
1220 WILLIS AVE
DAYTONA BEACH, FL 32114-2810
Phone number:
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