Individual
CHRISTINA WIEBMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2691
(224) 325-8586
Mailing address
1081 HEAVENS GATE, LK IN THE HLS, IL 60156-4871
(224) 325-8586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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