Individual
ALLISON WILDMAN WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
104 N COMMERCE ST, HINESVILLE, GA 31313-2720
(912) 877-3600
(912) 877-0421
Mailing address
104 N COMMERCE ST, HINESVILLE, GA 31313-2720
(912) 877-3600
(912) 877-0421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
254
GA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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