Individual
MRS. NICHOLE DOREEN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2700 SIMPSON AVE STE 201, ABERDEEN, WA 98520-4333
(360) 537-2743
(360) 537-6812
Mailing address
2700 SIMPSON AVE STE 201, ABERDEEN, WA 98520-4333
(360) 537-2743
(360) 537-6812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004380
WA
Other
Enumeration date
07/10/2008
Last updated
02/25/2016
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