Wilder, Marcey Blaine

Wilder, Marcey Blaine is an individual health care provider with primary practice located at 27 Park St , East Stroudsburg PA 18301-2036. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilder, Marcey Blaine can be contacted via phone (570) 620-6645.

Contact Information

Primary practice address
27 Park St East Stroudsburg PA 18301-2036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1053915751
LBN Legal business name Wilder, Marcey Blaine
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2020
Last updated Nov 23rd, 2021 - about 4 years ago

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.

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