ROBERT LAE WILD

SOMERVILLE, MA
NPI1588225585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MA  LCSW228811)
Enumeration Date2019-06-21
Last Update Date2024-11-22
Business Address
ROBERT LAE WILD LCSW
353 SOMERVILLE AVE APT 4
SOMERVILLE, MA 02143-2945
Phone number: 580-276-6426
Mailing Address
ROBERT LAE WILD LCSW
353 SOMERVILLE AVE APT 4
SOMERVILLE, MA 02143-2945
Phone number: 580-276-6426