Individual
MACKENZIE WIEGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
111 GALWAY PL, TEANECK, NJ 07666-3640
(201) 837-8371
Mailing address
122 BUTTERNUT DR, WAYNE, NJ 07470-4947
(862) 248-3629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-4083
NJ
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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