Individual
BRENDA WIEWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(323) 201-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10022
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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