KENNETH RUSSELL WILEY

LIBERTY, NY
NPI1710918172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NY  RO148631)
Enumeration Date2006-07-05
Last Update Date2007-07-08
Business Address
MR. KENNETH RUSSELL WILEY LCSW
20 COMMUNITY LANE
LIBERTY, NY 12754-2741
Phone number: 845-292-8770
Mailing Address
MR. KENNETH RUSSELL WILEY LCSW
11 OLD LOOMIS RD
LIBERTY, NY 12754-2741
Phone number: 845-292-5895
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