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1821459264
DANIELLE WILDES
CARROLLTON, GA
NPI
1821459264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA mft001451)
Enumeration Date
2016-03-13
Last Update Date
2016-10-14
Business Address
-- DANIELLE WILDES lmft
605 NEWNAN ST
CARROLLTON, GA 30117-3428
Phone number: 678-796-8255
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Mailing Address
-- DANIELLE WILDES lmft
605 NEWNAN ST
CARROLLTON, GA 30117-3428
Phone number: 678-796-8255
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