MR. Kenneth Russell Wiley, LCSW

NPI #1710918172 in Liberty, New York

Provider Information

NPI Number
1710918172
Entity Type
Individual
Name
MR. Kenneth Russell Wiley, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker
Credential
LCSW
Enumeration Date
Jul 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
20 COMMUNITY LANE
ZIP Code
12754-2741
Phone
(845) 292-8770

Specialties & Taxonomy Codes

Specialty
Social Worker

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