Sandra Denise Wiley, LMSW-IPR
NPI #1306420914 in San Antonio, Texas
Provider Information
- NPI Number
- 1306420914
- Entity Type
- Individual
- Name
- Sandra Denise Wiley, LMSW-IPR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Credential
- LMSW-IPR
- Enumeration Date
- May 10, 2021
- Last Updated
- May 10, 2021
Practice Location
- Address
- 6410 FIRESTONE PKWY
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78244-1544
- Phone
- (210) 904-4095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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