Individual
KRISTINE LYNNETTE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 4TH AVE, GRINNELL, IA 50112-2042
(641) 323-2729
(888) 920-1276
Mailing address
817 4TH AVE, GRINNELL, IA 50112-2042
(888) 920-1276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
128819
IA
Other
Enumeration date
10/30/2024
Last updated
01/03/2026
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