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Mary Wildwood, LCSW
NPI 1295780377 · on the registry since 2006
Practice
- Address
- 202 S. Pershing St.
Goya Health Ltd.
Energy, IL 62933 - Phone
- (618) 988-9843
- Fax
- (618) 942-8640
- Organisation at this address
- Holistic Psychiatry Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois