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Individual

EBONY WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2407 JAMES ST APT 209, CONWAY, SC 29527-5662
(854) 252-5463
Mailing address
2407 JAMES ST APT 209, CONWAY, SC 29527-5662
(854) 252-5463

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
NY
171M00000X
Case Manager/Care Coordinator
Primary
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/01/2018
Last updated
04/09/2025
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