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1093108110
JULIE WISDOM-WILD
SAN ANTONIO, TX
NPI
1093108110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 2993)
Enumeration Date
2015-03-13
Last Update Date
2015-03-13
Business Address
-- JULIE WISDOM-WILD LCDC
300 E MULBERRY AVE
SAN ANTONIO, TX 78212-3023
Phone number: 210-735-3822
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Mailing Address
-- JULIE WISDOM-WILD LCDC
300 E MULBERRY AVE
SAN ANTONIO, TX 78212-3023
Phone number: 210-735-3822
Copy
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