Individual
MS. SARA ELIZABETH WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
3010 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 926-2702
(919) 926-2709
Mailing address
PO BOX 40371, RALEIGH, NC 27629-0371
(910) 398-2798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20491
NC
Other
Enumeration date
05/26/2015
Last updated
01/24/2017
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