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1750357893
JAMES WILDE
WINTER PARK, FL
NPI
1750357893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW1958)
Enumeration Date
2006-02-28
Last Update Date
2007-07-08
Business Address
Mr. JAMES WILDE LCSW
2100 LEE RD
WINTER PARK, FL 32789-1862
Phone number: 407-644-7593
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Mailing Address
Mr. JAMES WILDE LCSW
677 SILVER BIRCH PL
LONGWOOD, FL 32750-8424
Phone number: 407-644-7593
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