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Individual
MAKAYLA DANIELLE WIETEK
Active
Individual
MAKAYLA DANIELLE WIETEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
110367
CA
1041C0700X
Clinical Social Worker
Primary
138181
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/13/2022
Last updated
04/24/2026
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