Individual
KATHRYN WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
889 CENTERVILLE RD, WARWICK, RI 02886-4342
(401) 825-6802
Mailing address
325 HEMLOCK DR, EAST GREENWICH, RI 02818-2630
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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