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Individual
JOSHUA WILDE
Active
Individual
JOSHUA WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09932144
CO
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
07/01/2026
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