Organization
GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM
Active
Organization
GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE WIEST LCSW (OWNER)
(623) 521-5096
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE STE 304C, GLENDALE, AZ 85308-8729
(623) 521-5096
Mailing address
30175 W MULBERRY DR, BUCKEYE, AZ 85396-3158
(623) 521-5096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
06/07/2023
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