| Wildwood | |
|
6 Governors Ln Ste A Chico CA 95926-5590 | |
| (530) 366-0755 | |
| Not Available |
| Full Name | Wildwood |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6 Governors Ln Ste A, Chico, California |
| Authorized Official Name and Position | Emma Kennedy Todd (OWNER) |
| Authorized Official Contact | 5303660755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood 6 Governors Ln Ste A Chico CA 95926-5590 Ph: (530) 366-0755 | Wildwood 6 Governors Ln Ste A Chico CA 95926-5590 Ph: (530) 366-0755 |
| NPI Number | 1356001317 |
|---|---|
| Provider Enumeration Date | 12/17/2021 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356001317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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