Robert W Wildman, LCSW

NPI #1023164936 in Versailles, Kentucky

Provider Information

NPI Number: 1023164936
Entity Type: Individual
Name: Robert W Wildman, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jan 25, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 125 BIG SINK RD # B
City: Versailles
State: Kentucky
ZIP Code: 40383-1558
Phone: (859) 253-1686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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