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Contact Information

TERESA L WILEY, MSW, M.ED
450 TECHNOLOGY PARK
LAKE MARY, FL32746
 Phone: 407-320-9323
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for TERESA L WILEY · (Female)

NPI # 1205271491
Status Active
Credentials MSW, M.ED
Entity Individual
Enumeration date 05/02/2013
Last updated 05/06/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ISW7879
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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