MS. Jessica Lyn Wilde, LCSW

NPI #1023289873 in Bradenton, Florida

Provider Information

NPI Number: 1023289873
Entity Type: Individual
Name: MS. Jessica Lyn Wilde, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 20, 2008
Last Updated: Mar 20, 2008

Practice Location

Address: 439 CORTEZ RD W
City: Bradenton
State: Florida
ZIP Code: 34207-1544
Phone: (941) 755-7830

Specialties & Taxonomy Codes

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

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