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Individual
MISS ROSANNE KAY WILD
Active
Individual
MISS ROSANNE KAY WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801077649
MI
1041C0700X
Clinical Social Worker
Primary
6801077649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008974760
BLUE CROSS
MI
Enumeration date
09/27/2006
Last updated
03/02/2026
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