Organization
KASEJA WILDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEJA LAURINE WILDER LCSW (OWNER)
(541) 844-5038
Entity
Organization
Contact information
Practice address
575 KINGSWOOD AVE, EUGENE, OR 97405-3541
(541) 844-5038
Mailing address
575 KINGSWOOD AVE, EUGENE, OR 97405-3541
(541) 844-5038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
04/09/2019
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