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1750161683
NAKIA SHANTE' WILDER
LOGANVILLE, GA
NPI
1750161683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA MSW011324)
Enumeration Date
2023-09-28
Last Update Date
2023-09-28
Business Address
Ms. NAKIA SHANTE' WILDER LMSW
4172 EDENBROOKE CIR
LOGANVILLE, GA 30052-5193
Phone number: 770-231-5412
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Mailing Address
Ms. NAKIA SHANTE' WILDER LMSW
4172 EDENBROOKE CIR
LOGANVILLE, GA 30052-5193
Phone number: 770-231-5412
Copy
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