Individual
CARLIE MADISON WILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1550 COLLEGE PKWY, CARSON CITY, NV 89706-7944
(775) 687-0101
Mailing address
3215 DILDAY DR, CARSON CITY, NV 89701-6115
(760) 914-2252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3995
NV
Other
Enumeration date
08/13/2024
Last updated
06/02/2025
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