Organization
WIEMELT THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE WIEMELT LCSW (LICENSED CLINICAL SOCIAL WORKER)
(217) 653-8520
Entity
Organization
Contact information
Practice address
3716 BISCAYNE ST, QUINCY, IL 62305-4742
(217) 653-8520
Mailing address
3716 BISCAYNE ST, QUINCY, IL 62305-4742
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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