Individual
JULIE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC15822
AZ
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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