Individual
DEBRA A. WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
77 SARAGOSSA ST, ST AUGUSTINE, FL 32084-3548
(904) 325-5322
(904) 512-0229
Mailing address
77 SARAGOSSA ST, ST AUGUSTINE, FL 32084-3548
(904) 325-5322
(904) 512-0229
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 3149
FL
Other
Enumeration date
05/21/2010
Last updated
05/17/2024
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