Individual
MIRANDA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 HAINES STE 114, LIBERTY, MO 64068-1008
(816) 797-9690
Mailing address
13418 OAKBROOK DR, KEARNEY, MO 64060-8093
(816) 797-9690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4543
KS
Other
Enumeration date
05/24/2021
Last updated
12/09/2024
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