Individual
ANNA WILDERMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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