Individual
ELLEN WIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
400 CUNNINGHAM WAY, DANVILLE, KY 40422-8339
(859) 381-7466
Mailing address
400 CUNNINGHAM WAY, DANVILLE, KY 40422-8339
(859) 381-7466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7633
KY
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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