Individual
MISS KIMBERLY DONNIELLE WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
234 BAINBRIDGE ST, APT 1R, PHILADELPHIA, PA 19147-2323
(443) 851-8258
Mailing address
234 BAINBRIDGE ST, APT 1R, PHILADELPHIA, PA 19147-2323
(443) 851-8258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15226
MD
1041C0700X
Clinical Social Worker
Primary
CW017515
PA
Other
Enumeration date
11/15/2012
Last updated
11/29/2012
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