# WILDWOOD WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588415889
- **Authorized official:** ANNIE C HODGINS LMFT (OWNER)
- **Authorized official phone:** (203) 213-8614

## Contact information

- **Practice address:** 79A NORWICH AVE, COLCHESTER, CT 06415-1276
- **Practice address phone:** (203) 213-8614
- **Mailing address:** 6 MALLARD PT, COLUMBIA, CT 06237-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2024
- **Last updated:** 03/27/2024
