Individual
AMBRESHA STEPHANIE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
5330 SIENNA PKWY, MISSOURI CITY, TX 77459-7413
(832) 795-4384
Mailing address
5330 SIENNA PKWY APT 1205, MISSOURI CITY, TX 77459-3783
(619) 753-5237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41289483
DRIVERS LICENSE
TX
Enumeration date
08/29/2022
Last updated
08/02/2025
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