Individual
MRS. MARY FRANCES WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 OLD COVINGTON RD, LITHONIA, GA 30058-7697
(770) 484-1704
(770) 784-3187
Mailing address
6612 OLD COVINGTON RD, LITHONIA, GA 30058-7697
(770) 484-1704
(770) 784-3187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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