Individual
ELIZABETH WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
458 MADISON RD, ORANGE, VA 22960-1085
(540) 672-2718
(540) 672-1196
Mailing address
PO BOX 1568, CULPEPER, VA 22701-6568
(540) 825-3100
(540) 829-5440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945361
—
VA
Enumeration date
05/14/2009
Last updated
05/14/2009
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