TASHA L WILDER

AUGUSTA, GA
NPI1164866380
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  101YM0800X)
Enumeration Date2013-04-18
Last Update Date2015-07-27
Business Address
-- TASHA L WILDER LPC
111 10TH ST
AUGUSTA, GA 30901-1136
Phone number: 706-267-9647
Mailing Address
-- TASHA L WILDER LPC
111 10TH ST
AUGUSTA, GA 30901-1136
Phone number: