Individual
MADISON LEEANN WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
278 ALYDAR DR, NORTH LIBERTY, IA 52317-4756
(515) 777-6026
Mailing address
278 ALYDAR DR, NORTH LIBERTY, IA 52317-4756
(515) 777-6026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095268
IA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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