MS. P. Diane Wild, LCSW
MS. P. Diane Wild, LCSW is a Clinical Social Worker in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.
- Licensed in
- CO
- In the registry since
- 2007
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
2315 Broadway StBoulder, CO 80304-4122
Phone: (303) 443-3174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 979032 (CO) |
|---|
Record details
| NPI number | 1821120353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2007 |
| Last updated in NPPES | July 8, 2007 |
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