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Individual

ALEXANDRA WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFTA

Contact information

Practice address
10005 24TH ST E, EDGEWOOD, WA 98371-2130
(253) 533-3248
Mailing address
10333 N ORACLE RD APT 13203, TUCSON, AZ 85737-5131
(360) 739-4641

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
Primary
MG61467071
WA

Other

Enumeration date
08/18/2015
Last updated
04/24/2024
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