MISS Macy Jayne Wieland, NONE

NPI #1265133649 in Clayton, Missouri

Provider Information

NPI Number
1265133649
Entity Type
Individual
Name
MISS Macy Jayne Wieland, NONE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
NONE
Enumeration Date
Mar 13, 2023
Last Updated
Mar 13, 2023

Practice Location

Address
7777 BONHOMME AVE STE 1800
ZIP Code
63105-1931
Phone
(636) 202-0693

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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