Individual
ASHLEY WILDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 HISTORIC 66 W, SUITE 207, WAYNESVILLE, MO 65583-2136
(573) 774-3317
Mailing address
23015 RANSOM RD, WAYNESVILLE, MO 65583-7832
(573) 855-4748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 14732
FL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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