Kathleen Wild LCSW

NPI 1023061801 - Social Worker - 1041C0700X

NPI Details
NPI 1023061801
Gender Female
Enumeration Date 05/19/2006
Last Updated 02/04/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
6375 W CHARLESTON BLVD
STE A100
LAS VEGAS NV, 89146-1139, US
Phone (702) 253-0818
Fax (702) 253-9625
Business Location
6375 W CHARLESTON BLVD
STE A100
LAS VEGAS NV, 89146-1139, US
Phone (702) 253-0818
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Nevada
License Number 5457 C
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According to our database, Kathleen Wild LCSW NPI is 1023061801, taxonomy code is 1041C0700X and license number is 5457 C, license state is located at Nevada. Kathleen Wild LCSW physically located at 6375 W Charleston Blvd, Las Vegas NV, 89146-1139. NPI Number Kathleen Wild LCSW has the Individual type.

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1023061801 NPI number is provided on an as is basis without warranty of any kind. 1023061801 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Wild LCSW are for informational purposes only.