Keith Edward Wheeler LCSW

NPI 1063402915 - Social Worker - 1041C0700X

NPI Details
NPI 1063402915
Gender Male
Enumeration Date 10/24/2005
Last Updated 09/15/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1061 HARMON AVE STE 1D03
WINN ARMY COMMUNITY HOSPITAL
FORT STEWART GA, 31314-5641, US
Phone (912) 315-6730
Fax
Business Location
1061 HARMON AVE STE 1D03
WINN ARMY COMMUNITY HOSPITAL
FORT STEWART GA, 31314-5641, US
Phone (912) 315-6730
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Georgia
License Number CSW003035
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According to our database, Keith Edward Wheeler LCSW NPI is 1063402915, taxonomy code is 1041C0700X and license number is CSW003035, license state is located at Georgia. Keith Edward Wheeler LCSW physically located at 1061 Harmon Ave Ste 1d03, Fort Stewart GA, 31314-5641. NPI Number Keith Edward Wheeler LCSW has the Individual type.

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1063402915 NPI number is provided on an as is basis without warranty of any kind. 1063402915 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Edward Wheeler LCSW are for informational purposes only.