Organization
JW MEDIATION & THERAPY, LLC
Active
Organization
JW MEDIATION & THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WIECHENS MSW, LCSW (THERAPIST/OWNER)
(636) 447-1902
Entity
Organization
Contact information
Practice address
2440 EXECUTIVE DR STE 210, SAINT CHARLES, MO 63303-5607
(636) 447-1902
(636) 447-1902
Mailing address
2440 EXECUTIVE DR STE 210, SAINT CHARLES, MO 63303-5607
(636) 447-1902
(636) 447-1902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001022988
MO
Other
Enumeration date
01/29/2013
Last updated
06/03/2013
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