Individual
MR. JASON SCOTT WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1136 WILMINGTON AVENUE, DEYTON, OH 45420
(937) 254-6700
(937) 254-6776
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 213-1803
(810) 744-1306
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801086655
MI
1041C0700X
Clinical Social Worker
I0500089
OH
Other
Enumeration date
11/30/2006
Last updated
10/30/2013
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