Individual
MRS. BRANDI RENAE WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1001 KENTUCKY ST, GRAHAM, TX 76450-3967
(940) 549-3399
Mailing address
115 CHAPARRAL DR, GRAHAM, TX 76450-2017
(940) 456-6160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102338
TX
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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