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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