Kathleen Wild, LCSW

NPI #1023061801 in Las Vegas, Nevada

Provider Information

NPI Number: 1023061801
Entity Type: Individual
Name: Kathleen Wild, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: May 19, 2006
Last Updated: May 14, 2021

Practice Location

Address: 6375 W CHARLESTON BLVD
Address 2: STE A100
City: Las Vegas
State: Nevada
ZIP Code: 89146-1139
Phone: (702) 253-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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