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Individual

DR. VICTORIA MARY WIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
2526 S 94TH ST, WEST ALLIS, WI 53227-2334
(414) 384-2000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1419057
WI

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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