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Individual
MARK WIELAND
Active
Individual
MARK WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010020
PA
Other
Enumeration date
12/29/2017
Last updated
07/04/2018
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