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1629583877
SOLANA WILD
FUQUAY VARINA, NC
NPI
1629583877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 13099)
Enumeration Date
2017-12-11
Last Update Date
2021-04-05
Business Address
Ms. SOLANA WILD LCMHC, MS
602 E ACADEMY STREET SUITE 102
FUQUAY VARINA, NC 27526
Phone number: 919-887-1100
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Mailing Address
Ms. SOLANA WILD LCMHC, MS
PO BOX 9909
FAYETTEVILLE, NC 28311
Phone number: 336-516-1429
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