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1316536451
CLEO B WILDE
CHATTANOOGA, TN
NPI
1316536451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN 9016)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2021-01-13
Last Update Date
2024-03-20
Business Address
CLEO B WILDE LCSW
6400 LEE HWY STE 110
CHATTANOOGA, TN 37421-2452
Phone number: 423-648-4951
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Mailing Address
CLEO B WILDE LCSW
6400 LEE HWY STE 110
CHATTANOOGA, TN 37421-2452
Phone number: 423-648-4951
Copy
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