ROBERT LAE WILD

CAMBRIDGE, MA
NPI1588225585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  LICSW1121518)
Enumeration Date2019-06-21
Last Update Date2025-01-20
Business Address
ROBERT LAE WILD LICSW
47 THORNDIKE ST
CAMBRIDGE, MA 02141-1799
Phone number: 617-405-5495
Mailing Address
ROBERT LAE WILD LICSW
165 MIDDLESEX AVE # 1149
SOMERVILLE, MA 02145-1105
Phone number: 508-203-1896
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