Fredreana Wilder

NPI #1063085934 in Charleston, South Carolina

Provider Information

NPI Number: 1063085934
Entity Type: Individual
Name: Fredreana Wilder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 20, 2021
Last Updated: Jul 20, 2021

Practice Location

Address: 1099 PLAYGROUND RD
City: Charleston
State: South Carolina
ZIP Code: 29407-6465
Phone: (843) 573-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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