Individual
AUDREY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7313 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 213-7350
Mailing address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(765) 446-4185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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