Individual
JUSTIN JAMES WIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 CHARLES ST, CANTON, NC 28716-4813
(828) 457-9198
Mailing address
128 CHARLES ST, CANTON, NC 28716-4813
(828) 457-9198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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