Individual
SONJA WILDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4321 ALLENDALE AVE, DULUTH, DULUTH, MN 55803-1562
(218) 728-7500
(218) 728-7501
Mailing address
4321 ALLENDALE AVE, DULUTH, MN 55803-1562
(612) 462-8226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CC01246
MN
Other
Enumeration date
02/24/2014
Last updated
04/06/2018
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