Individual
MS. AMY WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 W 85TH ST, APT. 4E, NEW YORK, NY 10024-3803
(347) 746-1338
Mailing address
330 W 85TH ST APT 4E, NEW YORK, NY 10024-3814
(917) 364-2522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078001
NY
Other
Enumeration date
02/01/2010
Last updated
01/05/2017
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