Individual
JESSICA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 2ND ST, TUSCUMBIA, AL 35674-1935
(256) 275-7089
(256) 826-1833
Mailing address
105 W 2ND ST, TUSCUMBIA, AL 35674-1935
(256) 275-7089
(256) 826-1833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7384G
AL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/19/2022
Last updated
03/27/2026
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