Individual
DIRHONDA KAY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1102 E CHEROKEE ST, A, WAGONER, OK 74467-4722
(918) 310-5936
(918) 917-8006
Mailing address
1102 E CHEROKEE ST, A, WAGONER, OK 74467-4722
(918) 310-5936
(918) 917-8006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4954
OK
Other
Enumeration date
05/03/2007
Last updated
11/29/2016
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