Individual
MS. KERRY MARIE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2101 S 42ND ST, OMAHA, NE 68105-2909
(402) 552-7464
Mailing address
124 CASTLE PINE DR, PAPILLION, NE 68133-3372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00930
IA
Other
Enumeration date
12/08/2005
Last updated
06/14/2016
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