Individual
ELIZABETH WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD STE 185, BINGHAM FARMS, MI 48025-2453
(248) 712-4266
(248) 712-4381
Mailing address
32100 TELEGRAPH RD STE 185, BINGHAM FARMS, MI 48025-2453
(248) 712-4266
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
05/18/2021
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