LYDIA SHANTERA WEDDERBURN

CANTONMENT, FL
NPI1982191680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
Ms. LYDIA SHANTERA WEDDERBURN
2420 S HIGHWAY 29
CANTONMENT, FL 32533-5808
Phone number: 850-968-3565
Mailing Address
Ms. LYDIA SHANTERA WEDDERBURN
2420 S HIGHWAY 29
CANTONMENT, FL 32533-5808
Phone number: 850-968-3565