Wild, Ericka
Wild, Ericka is an individual health care provider with primary practice located at 525 5Th Ave S Ste 102 , Edmonds WA 98020-3612. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wild, Ericka can be contacted via phone (206) 657-5523.Contact Information
Primary practice address
525 5Th Ave S Ste 102
Edmonds WA 98020-3612
Phone: (206) 657-5523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 130658121 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW61222763 | Washington |
Profile Details
| NPI number | 1285155168 |
|---|---|
| LBN Legal business name | Wild, Ericka |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2017 |
| Last updated | Mar 3rd, 2024 - about 2 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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