Whalio Doctors

NPI 1083366736

Coranda Wims, LCSW

Practitioner Clinical Social Worker Apo, AP

Practice location

Address
Psc 76 Unit 5024, Apo, AP 93619
Phone
(315) 226-2123
Mailing address
Unit 5024 Box Psc, Apo, AP 96319-5024

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 67115 (TX)

Registry record

NPI
1083366736
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jan 2022
Record last updated
25 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.