Individual
MICHELLE WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 SCOTT ST, SAINT JOSEPH, MO 64507-1818
(816) 387-2986
Mailing address
2810 EDMOND ST, SAINT JOSEPH, MO 64501-3345
(816) 262-3836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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