Wilde, Deanna
Wilde, Deanna is an sole proprietor health care provider with primary practice located at 328 3Rd St Sw , Willmar MN 56201-3475. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wilde, Deanna can be contacted via phone (320) 231-9763.Contact Information
Primary practice address
328 3Rd St Sw
Willmar MN 56201-3475
Phone: (320) 231-9763
Fax: (320) 235-0334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 31957 | Minnesota |
Profile Details
| NPI number | 1053188425 |
|---|---|
| LBN Legal business name | Wilde, Deanna |
| Credentials | LGSW, ADC-T |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2023 |
| Last updated | Dec 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053188425 | NPPES |
| Minnesota | MEDICAID | 1003042656 |
Popular Providers
-
Rand, Becky May
1125 6Th St Se Woodland Centers, Willmar MN 56201-4675 -
Boaz, Delora K.
600 S Preston St , Louisville KY 40202-1716 -
Beckmann, Julie Lynn
2120 60Th Ave Ne , Willmar MN 56201-9140 -
Sarsland, Rebecca
201 28Th Ave Sw , Willmar MN 56201-5241 -
Evans, Nancy
5441 Main St Rm 205, Stephens City VA 22655-2800 -
Moorer, Nannette C
33 Varden Dr , Aiken SC 29803-5285 -
Masters, Gary
105 W Stone Dr Ste 3B, Kingsport TN 37660-3256 -
Moreno, Michelle Lynn
2120 60Th Ave Ne , Willmar MN 56201-9140