Brenda Renee Wilde EIS

NPI 1245549138 - Counselor - 101Y00000X

NPI Details
NPI 1245549138
Gender Female
Enumeration Date 09/27/2010
Last Updated 08/08/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1005 MIDWESTERN PKWY
WICHITA FALLS TX, 76302-2211, US
Phone (940) 322-0771
Fax (940) 766-4943
Business Location
1005 MIDWESTERN PKWY
WICHITA FALLS TX, 76302-2211, US
Phone (940) 322-0771
Fax (940) 766-4943
Toxanomy
Taxonomy Code 101Y00000X
License State Texas
License Number 1993
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According to our database, Brenda Renee Wilde EIS NPI is 1245549138, taxonomy code is 101Y00000X and license number is 1993, license state is located at Texas. Brenda Renee Wilde EIS physically located at 1005 Midwestern Pkwy, Wichita Falls TX, 76302-2211. NPI Number Brenda Renee Wilde EIS has the Individual type.

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1245549138 NPI number is provided on an as is basis without warranty of any kind. 1245549138 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Renee Wilde EIS are for informational purposes only.