Individual
AMY JILL WIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 E BRADY ST, BUTLER, PA 16001-4648
(724) 282-1627
Mailing address
126 HOLLAND DR, BUTLER, PA 16002-7564
(724) 282-1627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015176
PA
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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