JACK WILDWOOD

MORRISVILLE, VT
NPI1205317906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VT  097.0135245)
Enumeration Date2018-08-22
Last Update Date2025-12-17
Business Address
JACK WILDWOOD PhD
133 GALLERY LN
MORRISVILLE, VT 05661-9057
Phone number: 802-505-9044
Mailing Address
JACK WILDWOOD PhD
PO BOX 287
HYDE PARK, VT 05655-0287
Phone number: