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1003463027
MADELYNN R WIETHOP
EVANSVILLE, IN
NPI
1003463027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34010332A)
Enumeration Date
2019-08-23
Last Update Date
2024-05-03
Business Address
MADELYNN R WIETHOP LCSW
7144 E VIRGINIA ST STE C
EVANSVILLE, IN 47715-9125
Phone number: 812-479-1242
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Mailing Address
MADELYNN R WIETHOP LCSW
7144 E VIRGINIA ST STE C
EVANSVILLE, IN 47715-9125
Phone number:
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