Individual
CLEO B WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6400 LEE HWY STE 110, CHATTANOOGA, TN 37421-2452
(423) 648-4951
(423) 490-0410
Mailing address
6400 LEE HWY STE 110, CHATTANOOGA, TN 37421-2452
(423) 648-4951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
9016
TN
Other
Enumeration date
01/13/2021
Last updated
03/20/2024
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