Individual
MISS SIERRA C WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2450 E GUADALUPE RD # SUOTE109, GILBERT, AZ 85234-5116
(480) 506-0016
Mailing address
6602 S CONSTELLATION WAY, GILBERT, AZ 85298-5700
(480) 506-0016
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12546
AZ
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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