Individual
VICTORIA MARIE WIEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3113 1ST AVE SW, CEDAR RAPIDS, IA 52405-4524
(319) 361-6529
Mailing address
PO BOX 4, VAN HORNE, IA 52346-0004
(319) 361-6529
(319) 228-8776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007626
IA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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