SHAWN DAVID WILDING

KATHLEEN, GA
NPI1801402490
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-09-18
Last Update Date2020-09-18
Business Address
SHAWN DAVID WILDING MS, NBCC
105 WIELAND DR
KATHLEEN, GA 31047-3100
Phone number: 706-577-1330
Mailing Address
SHAWN DAVID WILDING MS, NBCC
105 WIELAND DR
KATHLEEN, GA 31047-3100
Phone number: 706-577-1330