Individual
MRS. HEATHER WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27201 N 90TH AVE, PEORIA, AZ 85383-3760
(623) 640-9116
Mailing address
27201 N 90TH AVE, PEORIA, AZ 85383-3760
(623) 640-9116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2833
AZ
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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