Individual
ALEXANDRA WILDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 996-3154
Mailing address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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