Individual
THOMAS PERRY WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MOUNTAIN CREST RD, SWANNANOA, NC 28778-2314
(828) 899-0007
Mailing address
320 MOUNTAIN CREST RD, SWANNANOA, NC 28778-2314
(828) 899-0007
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
14474
NC
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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