Individual
MRS. MARY WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2543 SERENE MOON DR, HENDERSON, NV 89044-1565
(702) 334-5928
Mailing address
2543 SERENE MOON DR, HENDERSON, NV 89044-1565
(702) 334-5928
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5199-C
NV
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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