Individual
MS. JULIE MICHELLE WIECHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W
Contact information
Practice address
2440 EXECUTIVE DR, SUITE 210, SAINT CHARLES, MO 63303-5607
(636) 447-1902
(636) 447-1902
Mailing address
2440 EXECUTIVE DR, SUITE 210, SAINT CHARLES, MO 63303-5607
(636) 447-1902
(636) 447-1902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001022988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194696
PROVIDER IDENTIFICATION
MO
01
—
300138569
PROVIDER IDENTIFICATION
MO
05
—
494785314
—
MO
01
—
539410
PROVIDER IDENTIFICATION
MO
Enumeration date
10/17/2006
Last updated
01/16/2013
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