Individual
MS. KOLEY WAINWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 PATRICK DR, LEWISBURG, TN 37091-2966
(931) 675-4216
Mailing address
1505 PATRICK DR, LEWISBURG, TN 37091-2966
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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