Individual
BREANNA NICOLE WYLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3886 HENDERSON DR, JACKSONVILLE, NC 28546-5219
(910) 938-9833
(910) 938-9835
Mailing address
3886 HENDERSON DR, JACKSONVILLE, NC 28546-5219
(910) 938-9833
(910) 938-9835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016593
NC
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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