Individual
MERCEDES DARLENE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3198
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L8378
OR
1041C0700X
Clinical Social Worker
Primary
LW60893814
WA
1041C0700X
Clinical Social Worker
SC60577828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122263
—
WA
Enumeration date
11/26/2018
Last updated
03/23/2026
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