TIMOTHY M WILDER

ROANOKE, VA
NPI1568446144
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy101YP2500X Counselor Professional
(Licence: VA  0701002845)
Enumeration Date2005-12-06
Last Update Date2007-07-09
Business Address
MR. TIMOTHY M WILDER LPC
4656 BRAMBLETON AVE
ROANOKE, VA 24018-3437
Phone number: 540-772-8043
Mailing Address
MR. TIMOTHY M WILDER LPC
4656 BRAMBLETON AVE
ROANOKE, VA 24018-3437
Phone number: 540-772-8043
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