Individual
ANTOINETTE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(646) 941-7645
(929) 596-7897
Mailing address
8355 E 32ND AVE APT 353, DENVER, CO 80238-4435
(313) 460-8913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
.0993241
CO
1041C0700X
Clinical Social Worker
Primary
6801118149
MI
Other
Enumeration date
07/22/2024
Last updated
03/05/2026
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