Individual
LAJAQUAN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-5583
(706) 569-5589
Mailing address
1918 TRANQUIL LN, PHENIX CITY, AL 36867-8547
(334) 214-0360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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