Individual
CAITLYN ELISE WIEHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WINTERBROOKE CT, COTTLEVILLE, MO 63304-7697
(847) 532-0111
Mailing address
107 WINTERBROOKE CT, COTTLEVILLE, MO 63304-7697
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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