Kaseja Wilder LLC

NPI #1164996294 in Eugene, Oregon

Provider Information

NPI Number: 1164996294
Entity Type: Organization
Organization Name: Kaseja Wilder LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 11, 2019
Last Updated: Apr 9, 2019

Practice Location

Address: 575 KINGSWOOD AVE
City: Eugene
State: Oregon
ZIP Code: 97405-3541
Phone: (541) 844-5038

Authorized Official

Name: KASEJA LAURINE WILDER, LCSW
Title: OWNER
Phone: (541) 844-5038

Specialties & Taxonomy Codes

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

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