Individual
GAYLEEN M. WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3400
Mailing address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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