Individual
MRS. JENNIFER MARIE WILMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
2964 PEACHTREE RD NW, 760, ATLANTA, GA 30305-2153
(770) 510-3528
Mailing address
2964 PEACHTREE RD NW, 760, ATLANTA, GA 30305-2153
(770) 510-3528
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT000204
GA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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