Individual
MS. ELBRENDA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2041 DOWNS PL, LITHONIA, GA 30058-7849
(770) 323-2093
(770) 323-0063
Mailing address
2041 DOWNS PL, LITHONIA, GA 30058-7849
(770) 323-2093
(770) 323-0063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000868
GA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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