Individual
MR. RONALD L WIENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMSW, ACSW
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Mailing address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
(734) 287-1660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801014659
MI
1041C0700X
Clinical Social Worker
6801014659
MI
1041S0200X
School Social Worker
6801014659
MI
106H00000X
Marriage & Family Therapist
Primary
6801014659
MI
Other
Enumeration date
06/21/2006
Last updated
09/11/2025
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