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1164835849
KIMBERLY WILDER
WINTERVILLE, NC
NPI
1164835849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 3069-A)
Enumeration Date
2014-06-10
Last Update Date
2023-03-31
Business Address
KIMBERLY WILDER
2040 S PARK DR STE F
WINTERVILLE, NC 28590-8945
Phone number: 252-751-0865
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Mailing Address
KIMBERLY WILDER
2040 S PARK DR STE F
WINTERVILLE, NC 28590-8945
Phone number: 252-327-9415
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