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1124186382
MARJORIE WILDE
OVIEDO, FL
NPI
1124186382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 2558)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- MARJORIE WILDE M.S., LMHC
1000 EXECUTIVE DR SUITE 9
OVIEDO, FL 32765-8140
Phone number: 407-971-0266
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Mailing Address
-- MARJORIE WILDE M.S., LMHC
677 SILVER BIRCH PL
LONGWOOD, FL 32750-8424
Phone number: 407-324-5110
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