Individual
JENNIFER M WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 MAIN ST STE 223, STRATFORD, CT 06615-5839
(860) 761-4315
Mailing address
110 GIDDINGS AVE, WINDSOR, CT 06095-3718
(860) 761-4315
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11834
CT
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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