Individual
REBECCA ANN WIEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
212 E 1ST ST, MC COOK, NE 69001-3712
(308) 345-4884
(308) 345-2366
Mailing address
212 E 1ST ST, MC COOK, NE 69001-3712
(308) 345-4884
(308) 345-2366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4307
NE
Other
Enumeration date
10/11/2013
Last updated
03/20/2017
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