Individual
ELIZABETH WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW 72261
Contact information
Practice address
1125 W 6TH ST STE 103, LOS ANGELES, CA 90017-1896
(213) 202-3970
Mailing address
4163 VIA MARINA APT 209, MARINA DEL REY, CA 90292-5328
(224) 392-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/04/2016
Last updated
10/14/2019
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