Individual
MS. TASHA N WIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 365-6411
Mailing address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 365-6411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06774
IA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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