Individual
EMILY WILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10535 N PORT WASHINGTON RD STE 204, MEQUON, WI 53092-5560
(262) 421-5101
Mailing address
W57N727 HAWTHORNE AVE, CEDARBURG, WI 53012-1452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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