Individual
MR. JOHN MICHAEL WILEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1210 10TH ST, SUITE 203, BELLINGHAM, WA 98225-7063
(360) 527-0591
(360) 647-1043
Mailing address
1210 10TH ST, SUITE 203, BELLINGHAM, WA 98225-7063
(360) 527-0591
(360) 647-1043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00004986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00004986
DEPT OF HEALTH
WA
Enumeration date
08/11/2005
Last updated
07/08/2007
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