MS. Teresa Wiedemann, LICSW
NPI #1063790509 in Walla Walla, Washington
Provider Information
- NPI Number
- 1063790509
- Entity Type
- Individual
- Name
- MS. Teresa Wiedemann, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 2, 2011
- Last Updated
- Apr 9, 2012
Practice Location
- Address
- 139 RUSSET RD
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-8253
- Phone
- (509) 520-4370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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