Individual
MS. JACKIE LYNN ANN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
Mailing address
117 W MIDDLE ST, BURBANK, OH 44214-9777
(330) 407-1794
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2308934
OH
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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