Stephanie Wiese

NPI #1114281870 in Oswego, Illinois

Provider Information

NPI Number: 1114281870
Entity Type: Organization
Organization Name: Stephanie Wiese
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 27, 2012
Last Updated: Jun 27, 2012

Practice Location

Address: 123 W WASHINGTON ST
Address 2: SUITE 340
City: Oswego
State: Illinois
ZIP Code: 60543-8214
Phone: (630) 818-7899

Authorized Official

Name: MRS. STEPHANIE WIESE, LCPC
Title: OWNER
Phone: (630) 818-7899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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