Individual
BRIAN L WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
G10437
MD
104100000X
Social Worker
Primary
LG50078943
DC
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
Update your record
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