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Wanda
Wanda
Chisolm
Licensed mental health counselor
Central Islip, United States
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Florida Health Care Practitioner Data Portal
Full name
Wanda Chisolm
Job Title
Licensed Mental Health Counselor
Location
Central Islip, NY, USA
LIC ID
25842
Current License Expiration Date
31/03/2025
Original Date
28/04/2022
Professional Rank Code
MH
Effective Date
28/04/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
36 Hickory Street
Practice Location Address City
CENTRAL ISLIP
Practice Location Address State
NY
Practice Location Address Zipcode
11722
Prescribing Indicator
N
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