Individual
KNOX WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
390 RIVER STREET, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4560
Mailing address
390 RIVER STREET, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
097.0134948
VT
101YP2500X
Professional Counselor
0970134948
VT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/03/2020
Last updated
07/09/2021
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