Individual
LISA WIETHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 PARK VIEW LN, WHEELING, WV 26003-5493
(304) 243-1865
Mailing address
4 FRONT ST, WHEELING, WV 26003-5320
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
03/05/2024
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