Individual
CHARMAGNE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
6363 FRANCE AVE S STE 200, EDINA, MN 55435-2140
(952) 903-1392
Mailing address
7137 CHICAGO AVE APT 7, RICHFIELD, MN 55423-3363
(320) 282-4625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01574
MN
Other
Enumeration date
08/06/2019
Last updated
03/12/2026
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