MICHAEL ROBERT WILDMAN

GREENSBORO, NC
NPI1255989810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
MICHAEL ROBERT WILDMAN LCAS, CCS
430 BATTLEGROUND AVE UNIT A
GREENSBORO, NC 27401-2104
Phone number: 336-575-9951
Mailing Address
MICHAEL ROBERT WILDMAN LCAS, CCS
1011 PAMLICO DR
GREENSBORO, NC 27408-8511
Phone number:
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