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Individual

MISS EILEEN L WILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
700 STEWART RD, SUITE 105, MONROE, MI 48162-5304
(734) 240-1760
(734) 240-1780
Mailing address
700 STEWART RD, SUITE 105, MONROE, MI 48162-5304
(734) 240-1760
(734) 240-1780

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-02018
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801071856
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8008951790
BCBS
MI
Enumeration date
11/07/2006
Last updated
07/08/2007
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