Individual
MR. TOBIAS ALLEN WILDE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
4422 30TH AVE S APT 309, FARGO, ND 58104-8441
(801) 548-8535
Mailing address
4422 30TH AVE S APT 309, FARGO, ND 58104-8441
(801) 548-8535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24970
MN
1041C0700X
Clinical Social Worker
5797
ND
Other
Enumeration date
09/20/2011
Last updated
02/19/2024
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