Individual
BAARACA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1900 N HOWARD ST STE 300, BALTIMORE, MD 21218-5909
(443) 438-6742
Mailing address
8473 IMPERIAL DR, LAUREL, MD 20708-1835
(301) 980-0970
(301) 980-0970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP16349
MD
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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