Sage Lynn Wiederhold
NPI #1255998019 in Defuniak Springs, Florida
Provider Information
- NPI Number
- 1255998019
- Entity Type
- Individual
- Name
- Sage Lynn Wiederhold
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 28, 2019
- Last Updated
- May 28, 2019
Practice Location
- Address
- 40 STATE HIGHWAY 83
- City
- Defuniak Springs
- State
- Florida
- ZIP Code
- 32433-7404
- Phone
- (850) 595-9189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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