Individual
MRS. MICHELLE LYNN WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 E. 41ST ST., STE 100, SIOUX FALLS, SD 57105-6048
(605) 444-7643
(605) 444-7690
Mailing address
705 E. 41ST ST., STE 100, SIOUX FALLS, SD 57105-6048
(605) 444-7643
(605) 444-7690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3264
SD
104100000X
Social Worker
6583
NE
104100000X
Social Worker
8407
NE
Other
Enumeration date
02/08/2011
Last updated
01/11/2024
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