Individual
MRS. KIMBERLY D WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3423A MELROSE RD, FAYETTEVILLE, NC 28304
(910) 864-8739
(910) 864-8222
Mailing address
3423A MELROSE RD, FAYETTEVILLE, NC 28304
(910) 864-8739
(910) 864-8222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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