Individual
HEATHER SHERIDAN WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMS
Contact information
Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5486
Mailing address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(419) 528-5993
(567) 560-5486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.175667
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/24/2019
Last updated
08/13/2021
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