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Organization
THE DUFF WILDER GROUP, LLC
Active
Organization
THE DUFF WILDER GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONDRA DUFF WILDER FNP-BC; PMHNP-BC (NURSE PRACTITIONER)
(205) 399-7795
Entity
Organization
Contact information
Practice address
208 10TH ST NE, GORDO, AL 35466-2754
(205) 399-7795
Mailing address
PO BOX 804, GORDO, AL 35466-0804
(205) 399-7795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
03/18/2022
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