Individual
MR. BENNY KEITH WILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
116 LINCOLN ST, STATESBORO, GA 30461-6815
(912) 489-1092
Mailing address
116 LINCOLN ST, STATESBORO, GA 30461-6815
(912) 489-1092
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW002654
GA
1041S0200X
School Social Worker
S5- CERTIFICATION
GA
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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