Organization
ALICIA WILDER LLC
Active
Other names
Allow Therapy Partners
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA D SCHAULAND (PSYCHOTHERAPIST)
(616) 822-9733
Entity
Organization
Contact information
Practice address
1324 LAKE DR SE STE 8, GRAND RAPIDS, MI 49506-1673
(616) 929-0745
Mailing address
1324 LAKE DR SE STE 8, GRAND RAPIDS, MI 49506-1673
(616) 929-0745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094425
MI
Other
Enumeration date
04/10/2017
Last updated
01/11/2022
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