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1568743417
CARLYE WILDER
BAKERSFIELD, CA
NPI
1568743417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-09-06
Last Update Date
2011-09-06
Business Address
-- CARLYE WILDER
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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Mailing Address
-- CARLYE WILDER
PO BOX 12187
BAKERSFIELD, CA 93389-2187
Phone number: 530-219-2862
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