Most Relevant Information
Provider Data
| NPI Number: | 1003582826 |
| Provider Name: | WEELAY GONYON |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | LG200001286 |
Most Important Dates
| Enumeration Date: | 08/20/2021 |
| Last Updated: | 08/20/2021 |
Provider Practice Location
915 RHODE ISLAND AVE NW
WASHINGTON
DC
200014153
Practice Location Phone/Fax
| Phone: | 2022326100 |
| Fax: |
Provider Mailing Location
915 RHODE ISLAND AVE NW
WASHINGTON
DC
200014153
Provider Mailing Phone/Fax
| Phone: | 2022326100 |
| Fax: |