Fayette Louise Wiley
Fayette Louise Wiley is a Peer Specialist in Wagoner, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2023.
- Licensed in
- OK
- In the registry since
- 2023
Practice location Address checks out
109 S Harrill AveWagoner, OK 74467-5317
Phone: (918) 485-0242
Fax: (918) 485-0204
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 1437830882 (OK) |
|---|
Record details
| NPI number | 1437830882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 28, 2023 |
| Last updated in NPPES | August 31, 2023 |
| Certification date | August 31, 2023 |
| Mailing address | 109 S Harrill Ave, Wagoner, OK 74467-5317 |
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