| Kaseja Wilder Llc | |
|
575 Kingswood Ave Eugene OR 97405-3541 | |
| (541) 844-5038 | |
| Not Available |
| Full Name | Kaseja Wilder Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 575 Kingswood Ave, Eugene, Oregon |
| Authorized Official Name and Position | Kaseja Laurine Wilder (OWNER) |
| Authorized Official Contact | 5418445038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaseja Wilder Llc 575 Kingswood Ave Eugene OR 97405-3541 Ph: (541) 844-5038 | Kaseja Wilder Llc 575 Kingswood Ave Eugene OR 97405-3541 Ph: (541) 844-5038 |
| NPI Number | 1164996294 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 04/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164996294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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