Individual
NANCY A WIEDMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
921 GREELEY ST S, STILLWATER, MN 55082-5935
(651) 439-1234
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20718
MN
104100000X
Social Worker
—
—
Other
Enumeration date
08/17/2011
Last updated
05/04/2022
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