Individual
ELIZABETH ALEXANDRA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1615 E CYPRESS LN, FAYETTEVILLE, AR 72703-3082
(479) 684-9436
Mailing address
1615 E CYPRESS LN, FAYETTEVILLE, AR 72703-3082
(479) 684-9436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3264-C
AR
Other
Enumeration date
05/08/2007
Last updated
10/29/2020
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