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Individual

SANDRA GALE WILCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2200 N PATTERSON ST, VALDOSTA, GA 31602-2597
(229) 244-1707
(229) 244-1779
Mailing address
2200 N PATTERSON ST, VALDOSTA, GA 31602-2597
(229) 244-1707
(229) 244-1779

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003865
GA
1041S0200X
School Social Worker
406866
GA

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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