Individual
MR. ROBERT EDWARD WILDER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV., M.ED.
Contact information
Practice address
11924 SAN JOSE BLVD, JACKSONVILLE, FL 32223-1840
(904) 866-1556
(904) 287-7576
Mailing address
1809 LOCHAMY LN, JACKSONVILLE, FL 32259-5479
(904) 866-1556
(904) 287-7576
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 0001634
FL
Other
Enumeration date
08/12/2006
Last updated
01/11/2008
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