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Individual
DR. SHELLY A. WIECHELT
Active
Individual
DR. SHELLY A. WIECHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW-C, CCDC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12827
MD
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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