Individual
ELIZABETH WILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2903 S 5TH ST, IRONTON, OH 45638-2866
(740) 646-6640
Mailing address
419 VERNON ST, IRONTON, OH 45638-1637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1700749
OH
104100000X
Social Worker
—
—
Other
Enumeration date
12/22/2017
Last updated
06/06/2023
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