Individual
KEITH EDWARD WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 315-6730
Mailing address
1061 HARMON AVE STE 1D03, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 315-6730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003035
GA
Other
Enumeration date
10/24/2005
Last updated
09/15/2010
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