Individual
MS. ALIZA MARGARETE WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,ASW
Contact information
Practice address
921 W AVENUE J, SUITE C, LANCASTER, CA 93534-3443
(661) 949-0131
(661) 729-8912
Mailing address
921 W AVENUE J, SUITE C, LANCASTER, CA 93534-3443
(661) 949-0131
(661) 729-8912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW34307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ACSW-101YM0800X
—
CA
Enumeration date
05/23/2007
Last updated
04/08/2015
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