Individual
CHARLES WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 S RURAL RD, TEMPE, AZ 85282-3853
(480) 897-6063
Mailing address
3205 S RURAL RD, TEMPE, AZ 85282-3853
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4057981
AZ
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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