Individual
CHRISTOPHER D WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1732 VILLAGE SQUARE CT, SEVERN, MD 21144-1721
(443) 808-4924
Mailing address
1732 VILLAGE SQUARE CT, SEVERN, MD 21144-1721
(443) 808-4924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP14833
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
10/01/2018
Last updated
05/20/2024
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