Individual
ERICKA WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
525 5TH AVE S STE 102, EDMONDS, WA 98020-3612
(206) 657-5523
Mailing address
22703 LAKEVIEW DR APT E7, MOUNTLAKE TERRACE, WA 98043-2352
(206) 657-5523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
130658121
WI
1041C0700X
Clinical Social Worker
Primary
LW61222763
WA
Other
Enumeration date
06/30/2017
Last updated
03/03/2024
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