Most Relevant Information
Provider Data
| NPI Number: | 1003056946 |
| Provider Name: | VICKI MARY WOTRING MSW,CADC, CSAT,EMDR |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ISW4397 |
Most Important Dates
| Enumeration Date: | 03/05/2009 |
| Last Updated: | 01/26/2012 |
Provider Practice Location
100 CROWN OAK CENTRE DR
LONGWOOD
FL
327506166
Practice Location Phone/Fax
| Phone: | 4072701070 |
| Fax: |
Provider Mailing Location
1845 ALAQUA DR
LONGWOOD
FL
327793105
Provider Mailing Phone/Fax
| Phone: | 5206310886 |
| Fax: |