Individual
DR. DARRYL WHEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
106 OFFICE PARK DR STE D, BRANDON, MS 39042-2404
(601) 613-5250
(601) 824-7775
Mailing address
55 WOODGATE DR, BRANDON, MS 39042-2285
(601) 613-5250
(601) 824-7775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C1490
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114348
—
MS
Enumeration date
01/18/2007
Last updated
07/08/2007
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