MAYA WILDE

CHEYENNE, WY
NPI1568700367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WY  1054)
Enumeration Date2013-01-29
Last Update Date2026-01-08
Business Address
MAYA WILDE
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
Mailing Address
MAYA WILDE
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
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