Carol A Wildman, LICSW
Social Worker, Clinical in Claremont, NH. Individual provider (NPI-1).
NPI number1124193545
StatusActive
Last updated in NPPESJan 9, 2013
Details
- NPI
- 1124193545
- Entity type
- Individual (NPI-1)
- Name
- Carol A Wildman
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2006
- Last updated
- Jan 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1693 | NH | Yes |
Practice location
52 W Pleasant StClaremont, NH 03743-3055
Phone 603-542-2578 · Fax 603-342-5436
Mailing address
9 Hanover StSuite 2
Lebanon, NH 03766-1312
Phone 603-448-0126 · Fax 603-448-6001
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