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Individual
KENNETH LEE WHEELER
Active
Individual
KENNETH LEE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
UNDER SUPERVISION
NULL
Other
Enumeration date
05/24/2007
Last updated
08/10/2007
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