Individual
LAURA E. WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(702) 360-1137
(702) 240-1729
Mailing address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(702) 360-1137
(702) 240-1729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1279
NV
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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