CHARLES WILDER

TEMPE, AZ
NPI1124275680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: AZ  4057981)
Enumeration Date2008-08-26
Last Update Date2008-08-26
Business Address
-- CHARLES WILDER
3205 S RURAL RD
TEMPE, AZ 85282-3853
Phone number: 480-897-6063
Mailing Address
-- CHARLES WILDER
3205 S RURAL RD
TEMPE, AZ 85282-3853
Phone number: