Individual
MADISON WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 FIRST AVE, KING OF PRUSSIA, PA 19406-1334
(215) 645-2684
Mailing address
1150 FIRST AVE, KING OF PRUSSIA, PA 19406-1334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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