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Organization
STEPHANIE WIESE
Active
Organization
STEPHANIE WIESE
Active
Other names
Fox Bend Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE WIESE LCPC (OWNER)
(630) 818-7899
Entity
Organization
Contact information
Practice address
123 W WASHINGTON ST, SUITE 340, OSWEGO, IL 60543-8214
(630) 818-7899
Mailing address
161 SPRINGBROOK TRL S, OSWEGO, IL 60543-4016
(630) 818-7899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180007986
IL
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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