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Individual

CALVIN WIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-2615
Mailing address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-2615

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
121574
MA
104100000X
Social Worker
Primary
121574
MA
1041C0700X
Clinical Social Worker
42779
MT

Other

Enumeration date
05/17/2019
Last updated
08/16/2024
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