Individual
WILLIAM MARC DEWEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3651 E BASELINE RD STE E120, GILBERT, AZ 85234-2689
(480) 276-2570
Mailing address
3651 E BASELINE RD STE E120, GILBERT, AZ 85234-2689
(480) 276-2570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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