Individual
ASHTEN MARIE WIEDEBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
114 N WACO ST, WEATHERFORD, TX 76086-3232
(817) 594-3052
Mailing address
174 COLLEGE PARK DR APT 165, WEATHERFORD, TX 76086-6494
(940) 507-0807
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
109263
TX
1041C0700X
Clinical Social Worker
Primary
109263
TX
Other
Enumeration date
07/24/2025
Last updated
09/08/2025
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