Individual
MARY EMILY WILTSHIREFIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
681 HIOAKS RD STE A, RICHMOND, VA 23225-4043
(804) 320-3626
Mailing address
681 HIOAKS RD STE A, RICHMOND, VA 23225-4043
(804) 320-3626
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102116
VA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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