Individual
LAURA WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 EUGENE L BROWN DR, NEW PALTZ, NY 12561-3942
(845) 256-4300
Mailing address
196 MAIN ST, NEW PALTZ, NY 12561-1298
(845) 256-4000
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
105094
NY
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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