Individual
BEX WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2157 GERANIUM AVE E, SAINT PAUL, MN 55119-3345
(503) 949-0400
Mailing address
2157 GERANIUM AVE E, SAINT PAUL, MN 55119-3345
(503) 949-0400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4273
MN
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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