Individual
JANNA WIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1535 NE RICE RD BLDG C, LEES SUMMIT, MO 64086-5849
(816) 966-0900
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020037208
MO
1041C0700X
Clinical Social Worker
26999
MN
Other
Enumeration date
06/25/2020
Last updated
01/13/2021
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