Individual
TAYLOR WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 ARUSHA AVE, SAVANNAH, GA 31419-3194
(973) 349-4077
Mailing address
121 ARUSHA AVE, SAVANNAH, GA 31419-3194
(973) 349-4077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
06/07/2024
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