Individual
ANNA WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 S MADISON ST, MUNCIE, IN 47302-5756
(765) 283-4329
Mailing address
3715 S MADISON ST, MUNCIE, IN 47302-5756
(765) 283-4329
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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