Individual
MELISSA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2034 W KIRKHAM WAY, TAYLORSVILLE, UT 84129-5418
(248) 962-8761
Mailing address
2034 W KIRKHAM WAY, TAYLORSVILLE, UT 84129-5418
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14152275-3501
UT
1041C0700X
Clinical Social Worker
15502
FL
Other
Enumeration date
04/23/2021
Last updated
01/02/2026
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