Wildman, Amy

Wildman, Amy is an sole proprietor health care provider with primary practice located at 111 E Main St , St Charles IL 60174-1948. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wildman, Amy can be contacted via phone (630) 587-3777.

Contact Information

Primary practice address
111 E Main St St Charles IL 60174-1948
Phone: (630) 587-3777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 149.016068 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149.016068 Illinois

Profile Details

NPI number 1982003851
LBN Legal business name Wildman, Amy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2014
Last updated Aug 17th, 2014 - about 12 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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