Individual
MR. DAVID WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
919 3RD ST STE 101, LANGLEY, WA 98260-9229
(360) 341-3562
(360) 221-2515
Mailing address
PO BOX 842, LANGLEY, WA 98260-0842
(360) 341-3562
(360) 221-2515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8139370
—
WA
Enumeration date
06/23/2006
Last updated
03/17/2014
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