Individual
MARIA WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 CENTER AVE STE 170, JANESVILLE, WI 53546-2805
(608) 352-9701
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8764-226
WI
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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