Individual
MS. CARLA WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
660 E KIRBY ST, DETROIT, MI 48202-4123
(313) 826-4479
Mailing address
660 E KIRBY ST, DETROIT, MI 48202-4123
(313) 826-4479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
61-1595624
MI
1041C0700X
Clinical Social Worker
61-1595624
MI
273Y00000X
Rehabilitation Hospital Unit
61-1595624
MI
283X00000X
Rehabilitation Hospital
61-1595624
MI
343900000X
Non-emergency Medical Transport (VAN)
Primary
61-1595624
MI
Other
Enumeration date
05/16/2009
Last updated
05/16/2009
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