Individual
MS. CIVIA WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
470 CENTER ST BLDG 2, CHARDON, OH 44024-1071
(440) 279-1700
Mailing address
470 CENTER ST BLDG 2, CHARDON, OH 44024-1071
(440) 279-1700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP6171
OH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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