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Individual
GEORGIA MAY WIESE-MOEN
Active
Individual
GEORGIA MAY WIESE-MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3046-125
WI
104100000X
Social Worker
3046-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43583900
—
WI
Enumeration date
08/31/2006
Last updated
06/13/2025
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