Individual
JENNIFER KIRKPATRICK WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 785-5910
Mailing address
745 MOUNT PARAN RD NW, ATLANTA, GA 30327-4543
(770) 655-5745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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