Individual
CASSIDY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8031 PRINCESS JEANNE AVE NE, ALBUQUERQUE, NM 87110-6019
(619) 643-0698
Mailing address
8031 PRINCESS JEANNE AVE NE, ALBUQUERQUE, NM 87110-6019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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