KATHERINE J WOITALLA
Mental Health at Riva Rdg Dr, Crestview, FL

License number
Florida 4614
Issued Date
Apr 29, 2004
Effective Date
Apr 30, 2007
Expiration Date
Mar 31, 2005
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
716 Riva Ridge Dr, Crestview, FL 32539
1015 Mar Walt Dr, Fort Walton Beach, FL 32547
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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