Individual
SANDRA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15815 S 46TH ST STE 116, PHOENIX, AZ 85048-0444
(602) 206-1566
(480) 704-1661
Mailing address
15815 S 46TH ST STE 116, PHOENIX, AZ 85048-0444
(602) 206-1566
(480) 704-1661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW11063
AZ
Other
Enumeration date
11/15/2012
Last updated
04/01/2015
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