MS. TERESA WIEDEMANN, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1063790509
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | LW 60111377 (WA) |
Frequently Asked Questions
NPI 1063790509 is the National Provider Identifier for MS. TERESA WIEDEMANN, LICSW, a Social Worker - Clinical provider located in Walla Walla, WA. This NPI was enumerated on August 2, 2011.
MS. TERESA WIEDEMANN, LICSW practices at 139 RUSSET RD, Walla Walla, WA 99362.
Quick Facts
- NPI
- 1063790509
- Type
- Individual
- Enumerated
- Aug 2, 2011
- Last Updated
- Apr 9, 2012
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