Individual
JEFFREY ALAN WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2524 W RUTHRAUFF, SUITE 104, TUCSON, AZ 85705
(520) 403-6001
(520) 797-1402
Mailing address
11955 N METEOR PL, TUCSON, AZ 85737-3468
(520) 403-6001
(520) 797-1402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1328
AZ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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