Individual
CRAIG ANDREW WIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3600 GATEWAY DR APT 412A, PHILADELPHIA, PA 19145-5940
(215) 704-8383
Mailing address
3600 GATEWAY DR APT 412A, PHILADELPHIA, PA 19145-5940
(215) 704-8383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW024484
PA
Other
Enumeration date
12/18/2017
Last updated
08/08/2024
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