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1366825010
WILLIAM BRANTLEY WHEELER
VALDOSTA, GA
NPI
1366825010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW005540)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
Mr. WILLIAM BRANTLEY WHEELER LCSW
1503 E PARK AVE APT D10
VALDOSTA, GA 31602-5304
Phone number: 229-305-6618
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Mailing Address
Mr. WILLIAM BRANTLEY WHEELER LCSW
1503 E PARK AVE APT D10
VALDOSTA, GA 31602-5304
Phone number: 229-305-6618
Copy
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