Individual
THERESA WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5947 COUNTY ROAD D, ABRAMS, WI 54101-9712
(920) 883-7182
Mailing address
5947 COUNTY ROAD D, ABRAMS, WI 54101-9712
(920) 883-7182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4595-125
WI
Other
Enumeration date
08/05/2009
Last updated
05/13/2024
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