Individual
CHRISTINE MARI WILFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2044 S 96TH STREET, WEST ALLIS, WI 53227
(414) 698-6104
Mailing address
10408 55TH AVE, PLEASANT PRAIRIE, WI 53158-3401
(414) 698-6106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1933-123
WI
Other
Enumeration date
08/29/2012
Last updated
12/22/2025
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