Individual
JULIA ELIZABETH WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3651 E BASELINE RD STE 120, GILBERT, AZ 85234
(314) 610-5084
Mailing address
1955 E CAIRO DR, TEMPE, AZ 85282-2820
(314) 610-5084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-17955
AZ
Other
Enumeration date
10/11/2018
Last updated
10/17/2019
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