Individual
SANDRA DENISE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-IPR
Contact information
Practice address
6410 FIRESTONE PKWY, SAN ANTONIO, TX 78244-1544
(210) 904-4095
Mailing address
PO BOX 29206, SAN ANTONIO, TX 78229-0206
(210) 904-4095
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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