Individual
EMMA WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 SW HIGGINS AVE STE E, MISSOULA, MT 59803-1430
(406) 272-9997
Mailing address
PO BOX 5814, MISSOULA, MT 59806-5814
(406) 272-9997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
07/07/2025
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