BRIAN WAHL

DEBARY, FL
NPI1750757373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW12336)
Enumeration Date2015-08-18
Last Update Date2015-08-18
Business Address
-- BRIAN WAHL LCSW
356 ENGLENOOK DR
DEBARY, FL 32713-1805
Phone number: 386-236-3200
Mailing Address
-- BRIAN WAHL LCSW
1220 WILLIS AVE
DAYTONA BEACH, FL 32114-2810
Phone number: