MRS. Mary Ann Wildwood, LCSW

NPI #1295780377 in Energy, Illinois

Provider Information

NPI Number: 1295780377
Entity Type: Individual
Name: MRS. Mary Ann Wildwood, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: May 24, 2006
Last Updated: Apr 30, 2014

Practice Location

Address: 202 S. PERSHING ST.
Address 2: GOYA HEALTH LTD.
City: Energy
State: Illinois
ZIP Code: 62933
Phone: (618) 988-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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