Individual
ELENOR ANN WIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61490067
WA
106S00000X
Behavior Technician
CB61314324
WA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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