Individual
AMY M WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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