Individual
CARISA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 HOGBACK RD STE 11, ANN ARBOR, MI 48105-9752
(734) 904-9621
Mailing address
1444 JEWETT ST, ANN ARBOR, MI 48104-6208
(734) 904-9621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086707
MI
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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