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Individual

HILARY WIECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
408 B AVE STE A, VINTON, IA 52349-1143
(319) 464-7079
Mailing address
804 SHERMAN ST, DYSART, IA 52224-9726

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952772170
IA
Enumeration date
02/25/2019
Last updated
02/25/2019
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Product
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