Individual
MRS. OLIVIA D WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2345 REAGAN ST, DALLAS, TX 75219-3225
(800) 251-0921
Mailing address
2345 REAGAN ST, DALLAS, TX 75219-3225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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