Individual
ANITA G WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.; L.C.A.D.C.
Contact information
Practice address
1001 LAKE ST, SALISBURY, MD 21801-3141
(410) 742-3460
Mailing address
540 RIVERSIDE DR, STE 8, SALISBURY, MD 21801-5352
(410) 632-1100
(410) 632-0906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA331
MD
1041C0700X
Clinical Social Worker
Primary
11318
MD
Other
Enumeration date
04/05/2006
Last updated
01/27/2021
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