JAMES WILDE

WINTER PARK, FL
NPI1750357893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: FL  SW1958)
Enumeration Date2006-02-28
Last Update Date2007-07-08
Business Address
Mr. JAMES WILDE LCSW
2100 LEE RD
WINTER PARK, FL 32789-1862
Phone number: 407-644-7593
Mailing Address
Mr. JAMES WILDE LCSW
677 SILVER BIRCH PL
LONGWOOD, FL 32750-8424
Phone number: 407-644-7593