ALICIA WILDER LLC
Organization (NPI-2)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1487187050- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1324 LAKE DR SE STE 8, GRAND RAPIDS, MI, 495061673
- Phone
- (616) 929-0745
Specialties & Taxonomies
Social Worker, Clinical
Primary License: MI #6801094425