MS. Koley Wainwright

NPI #1033578984 in Lewisburg, Tennessee

Provider Information

NPI Number: 1033578984
Entity Type: Individual
Name: MS. Koley Wainwright
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Feb 22, 2016
Last Updated: Feb 22, 2016

Practice Location

Address: 1505 PATRICK DR
City: Lewisburg
State: Tennessee
ZIP Code: 37091-2966
Phone: (931) 675-4216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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