Individual
MS. MARY JANE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
44 VANTAGE WAY, NASHVILLE, TN 37228-1513
(888) 291-4357
Mailing address
1901 MURFREESBORO PIKE APT 124, NASHVILLE, TN 37217-3211
(615) 604-2314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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