Individual
JUDITH WILDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
PATHWAYS CENTER SPALDING, 1710 HIGHWAY 16 WEST, GRIFFIN, GA 30223
(706) 845-4045
Mailing address
1221 SKYLAR RIDGE CIR, BUFORD, GA 30519-7348
(718) 902-8132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37782
NY
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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