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1164866380
TASHA L WILDER
AUGUSTA, GA
NPI
1164866380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA 101YM0800X)
Enumeration Date
2013-04-18
Last Update Date
2015-07-27
Business Address
-- TASHA L WILDER LPC
111 10TH ST
AUGUSTA, GA 30901-1136
Phone number: 706-267-9647
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Mailing Address
-- TASHA L WILDER LPC
111 10TH ST
AUGUSTA, GA 30901-1136
Phone number:
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