Individual
MRS. AMY CHRISTINE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
160 N BEACH ST, DAYTONA BEACH, FL 32114-3314
(386) 944-4707
Mailing address
160 N BEACH ST, DAYTONA BEACH, FL 32114-3314
(386) 944-4707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 7546
FL
Other
Enumeration date
04/25/2008
Last updated
08/08/2012
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