Individual
GABRIELLE WILDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 WEBB PL STE 310, DOVER, NH 03820-2454
(603) 842-4924
Mailing address
51 WEBB PL STE 310, DOVER, NH 03820-2454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P-0897
NH
Other
Enumeration date
03/06/2023
Last updated
09/19/2024
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