| Doctor Name: | CAROL A WILDMAN |
| NPI Number: | 1124193545 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 1693 |
| Business Practice Address: | 52 W Pleasant St Claremont, NH - 037433055 |
| Business Phone Number: | 6035422578 |
| Business Fax Number: | 6033425436 |
| Mailing Address: | 9 Hanover St, Suite 2 LEBANON |
| State: | NH |
| Postal Code: | 037661312 |
| Phone Number: | 6034480126 |
| Fax Number: | 6034486001 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |