Individual
FARRAH L WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W 3RD ST, WINSTON SALEM, NC 27101-3940
(305) 417-2657
Mailing address
251 LITTLE BOY DR, MADISON, NC 27025-7794
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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