Individual
MARYRITA WIENERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 17TH ST NW STE 306, WASHINGTON, DC 20006-2604
(220) 296-5695
Mailing address
910 17TH ST NW STE 306, WASHINGTON, DC 20006-2604
(220) 296-5695
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC36
DC
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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