Individual
HEATHER M WIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2220
(907) 260-7301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
875
AK
1041C0700X
Clinical Social Worker
Primary
CSW.00002068
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RH177FQ
—
AK
Enumeration date
07/28/2008
Last updated
05/05/2022
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