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1508143322
AMANDA LYNN WILDER
TULLAHOMA, TN
NPI
1508143322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-11-08
Last Update Date
2011-11-08
Business Address
AMANDA LYNN WILDER
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number: 931-247-6522
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Mailing Address
AMANDA LYNN WILDER
709 DAVIDSON ST
TULLAHOMA, TN 37388-3607
Phone number:
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