Individual
SHERYL KAY WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5034 MUND RD, SHAWNEE, KS 66218-9147
(913) 422-8477
(913) 322-4562
Mailing address
5034 MUND RD, SHAWNEE, KS 66218-9147
(913) 422-8477
(913) 322-4562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
928
KS
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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