Organization
ROBINWILDE INTEGRATED MEDICINE, LLLP
Active
Other names
Robinwild Integrated Medicine LLLP
Organization subpart
No
Provider details
NPI number
Authorized official
LADEANA NICOLE ROBINSON (OWNER)
(470) 364-7733
Entity
Organization
Contact information
Practice address
507 WATSON BAY, STONE MOUNTAIN, GA 30087-6121
(678) 651-4022
Mailing address
507 WATSON BAY, STONE MOUNTAIN, GA 30087-6121
(678) 651-4022
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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