Individual
ANNA KATHRYN WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4800
Mailing address
741 CAROLINA ASTER DR, BLYTHEWOOD, SC 29016-7648
(803) 417-4295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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